Individual
MR. ANTONIO FREQUAZ GIVHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ALC, ECMH-E
Contact information
Practice address
6217 WYNFREY PL, MONTGOMERY, AL 36117-4813
(334) 819-6508
Mailing address
6217 WYNFREY PL, MONTGOMERY, AL 36117-4813
(334) 819-6508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3995A
AL
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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