Doctor Name: | MS. KATHLEEN FOX SELLERS |
NPI Number: | 1508053356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1122 |
Business Practice Address: | 309 E Ridgeley St Atmore, AL - 365022017 |
Business Phone Number: | 2523681675 |
Business Fax Number: | 2514461994 |
Mailing Address: | 309 E Ridgeley St, ATMORE |
State: | AL |
Postal Code: | 365022017 |
Phone Number: | 2513681675 |
Fax Number: | 2514461994 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1122 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |