Organization
IMMANUEL COUNSELING SERVICES, LLC
Active
Other names
Immanuel Counseling and Consultation Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATRECE DANTZLER EDD (LICENSED PROFESSIONAL COUNSELOR)
(334) 467-4992
Entity
Organization
Contact information
Practice address
3104 S RAILROAD ST STE B, PHENIX CITY, AL 36867-2992
(334) 655-1414
(334) 665-5666
Mailing address
888 WYNDHAM VILLAGE CT, OPELIKA, AL 36804-7494
(334) 467-4992
(334) 665-5666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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