Individual
TERRI CASEY MUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5905 AIRPORT BLVD, SUITE D, MOBILE, AL 36608-3168
(251) 343-2597
(251) 343-0122
Mailing address
5905 AIRPORT BLVD, SUITE D, MOBILE, AL 36608-3168
(251) 343-2597
(251) 343-0122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527453
BCBS
AL
Enumeration date
11/28/2006
Last updated
06/17/2015
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