Doctor Name: | A,Y HUDSON |
NPI Number: | 1013105741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2544 |
Business Practice Address: | 224 2nd Ave Se Decatur, AL - 356012344 |
Business Phone Number: | 2563410811 |
Business Fax Number: | 2563419358 |
Mailing Address: | 224 2nd Ave Se, DECATUR |
State: | AL |
Postal Code: | 356012344 |
Phone Number: | 2563410811 |
Fax Number: | 2563419358 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |