Organization
TRUSSVILLE FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L MASHBURN LPC (CLINICAL DIRECTOR)
(205) 276-2419
Entity
Organization
Contact information
Practice address
128 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1373
(205) 276-2419
(205) 655-3851
Mailing address
128 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1373
(205) 655-3851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2445
AL
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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