| NPI | 1891477113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATRECE DANTZLER Licensed Professional Counselor 334-467-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |