Individual
PAUL MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 ST. LUKES DRIVE, MONTGOMERY, AL 36117-7109
(256) 546-9265
(256) 549-0376
Mailing address
3001 SCENIC HWY, GADSDEN, AL 35904-3047
(256) 546-9265
(256) 549-0376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1847
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1847
LPC
AL
Enumeration date
08/02/2005
Last updated
03/13/2008
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