Individual
SOMIYA M. MURTADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
472 N DALEVILLE AVE, DALEVILLE, AL 36322-2076
(334) 245-3367
(334) 245-0158
Mailing address
472 N DALEVILLE AVE, DALEVILLE, AL 36322-2076
(334) 803-2959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-941
AL
101YM0800X
Mental Health Counselor
Primary
C3426A
AL
Other
Enumeration date
03/09/2020
Last updated
08/10/2021
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