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Individual

MR. LEE GILLIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ALC

Contact information

Practice address
2101 EXECUTIVE PARK DR STE 205, OPELIKA, AL 36801-6041
(334) 275-9575
(334) 257-9581
Mailing address
1509 FREDERICK RD LOT 43, OPELIKA, AL 36801-7227
(334) 748-0623

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2953A
AL

Other

Enumeration date
04/09/2019
Last updated
04/09/2019
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