Individual
MR. CHARLES NATHAN LUMBATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., M.A., LPC
Contact information
Practice address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 702-7222
(334) 702-1944
Mailing address
636 WESTWOOD RD, DOTHAN, AL 36303-2928
(334) 797-1145
(334) 702-1944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2543
AL
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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