ALBERT ODELL CHEATHAM

MOBILE, AL
NPI1376736157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  05R076)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS  AD05-020C)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS  1381)
101YM0800X Counselor, Mental Health
(Licence: AL  339002147)
101YP2500X Counselor, Professional
171M00000X Case Manager/Care Coordinator
(Licence: AL  339002147)
174400000X Specialist
(Licence: MS  P04-003C)
Enumeration Date2007-08-24
Last Update Date2009-01-30
Business Address
Mr. ALBERT ODELL CHEATHAM MS, ACADC, CPS
5705 LONG MEADOW COURT
MOBILE, AL 36609
Phone number: 850-529-3434
Mailing Address
Mr. ALBERT ODELL CHEATHAM MS, ACADC, CPS
5705 LONG MEADOW CT
MOBILE, AL 36609-7017
Phone number: 850-529-3434