Individual
MS. KAY BUSH SORRELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
29000 HWY 98, SUITE 102 A, DAPHNE, AL 36526
(251) 626-5797
(251) 626-5798
Mailing address
29000 HWY 98, SUITE 102 A, DAPHNE, AL 36526
(251) 626-5797
(251) 626-5798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2695
AL
101YP2500X
Professional Counselor
Primary
LPC1713
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
544111
—
TN
Enumeration date
06/13/2006
Last updated
01/17/2018
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