Individual
PHILLIP W GRAMLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
105 CHURCH ST, SUITE B, RAINBOW CITY, AL 35906-6242
(256) 393-1888
Mailing address
118 OAK CIR, GADSDEN, AL 35901-5814
(256) 393-1888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2369
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2369
LPC
AL
Enumeration date
07/29/2005
Last updated
06/20/2011
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