Individual
MEGAN CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 356-4900
Mailing address
1796 W GANTTS MILL RD, TALLASSEE, AL 36078-5264
(334) 322-0737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ALC04624
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
09/28/2023
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