MRS. Sally Self, MA LPC

NPI #1588114383 in Springville, Alabama

Provider Information

NPI Number: 1588114383
Entity Type: Individual
Name: MRS. Sally Self, MA LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA LPC
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 4193 US HIGHWAY 11
City: Springville
State: Alabama
ZIP Code: 35146-7332
Phone: (205) 531-6896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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