Organization
WILLOW TREE FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA LACY MCCLINTOCK LICSW (LICENSED CLINICAL SOCIAL WORKER)
(251) 233-0929
Entity
Organization
Contact information
Practice address
7129 GADSDEN HWY STE 101, TRUSSVILLE, AL 35173-1618
(251) 233-0929
Mailing address
7129 GADSDEN HWY STE 101, TRUSSVILLE, AL 35173-1618
(251) 233-0929
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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