Individual
PHILLIP ANDREW SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 BERGLIN ST, FAIRHOPE, AL 36532-2053
(731) 444-3766
Mailing address
59 BERGLIN ST, FAIRHOPE, AL 36532-2053
(731) 444-3766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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