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Individual

ALEX E FARISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1612 RAILROAD AVENUE, GUNTERSVILLE, AL 35976
(256) 582-8880
(256) 582-8890
Mailing address
P.O. BOX 1001, GUNTERSVILLE, AL 35976
(256) 582-8880
(256) 582-8890

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-1204
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-1204
AL
101YM0800X
Mental Health Counselor
1204
AL
101YM0800X
Mental Health Counselor
Primary
LPC-1204
AL
101YP2500X
Professional Counselor
1204
AL
101YP2500X
Professional Counselor
LPC-1204
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51020128FAR
BCBS
AL
Enumeration date
08/09/2006
Last updated
09/07/2023
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