Individual
BETTY J BELISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1311 RUCKER BLVD, ENTERPRISE, AL 36330-2234
(334) 417-0212
(334) 417-0213
Mailing address
1311 RUCKER BLVD, ENTERPRISE, AL 36330-2234
(334) 417-0212
(334) 417-0213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3955
AL
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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