Individual
MACON DORRIETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC, NCC
Contact information
Practice address
3757 GULF SHORES PKWY STE B, GULF SHORES, AL 36542-2757
(251) 210-8884
Mailing address
3757 GULF SHORES PKWY STE B, GULF SHORES, AL 36542-2757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3485A
AL
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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