Individual
ELLEN LOUISE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
205 S SEMINARY ST, FLORENCE, AL 35630-5665
(256) 740-8388
Mailing address
205 S SEMINARY ST, FLORENCE, AL 35630-5665
(256) 740-8388
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C1303A
AL
101YM0800X
Mental Health Counselor
Primary
2956
AL
Other
Enumeration date
02/23/2007
Last updated
03/08/2012
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