Individual
CLARICE MCGINNIS TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
6101 DR MARTIN LUTHER KING DR, FAIRFIELD, AL 35064-2599
(205) 223-9843
(205) 798-2604
Mailing address
PO BOX 310815, BIRMINGHAM, AL 35231-0815
(205) 223-9843
(205) 798-2604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1120
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1120
LICENSED PROFESSIONAL COUNSELOR
AL
01
—
377
SUPERVISING COUNSELOR
AL
Enumeration date
07/29/2009
Last updated
07/29/2009
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