Individual
MARY SELLERS BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1110 MONTLIMAR DR STE 190, MOBILE, AL 36609-1730
(251) 377-0168
(251) 621-9737
Mailing address
1807 YUILLE LN, DAPHNE, AL 36526-4651
(251) 377-0168
(251) 621-9737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1093
AL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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