Individual
MR. MAGNUS MILLER GORRIE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2208 UNIVERSITY BLVD STE 102, BIRMINGHAM, AL 35233-2313
(205) 504-9509
Mailing address
100 AZALEA RD, MOUNTAIN BRK, AL 35213-2508
(205) 504-9509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC05280
AL
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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