Individual
ROBERT COLCLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 MEMORIAL HOSPITAL DR STE 2A, MOBILE, AL 36608-1199
(251) 344-2762
(251) 344-5492
Mailing address
100 MEMORIAL HOSPITAL DR STE 2A, MOBILE, AL 36608-1199
(251) 344-2762
(251) 344-5492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 111
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515 92047
BLUE CROSS
AL
01
—
515 92986
BLUE CROSS
AL
Enumeration date
07/07/2006
Last updated
09/16/2008
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