Mishegas | |
400 Fairhope Ave Fairhope AL 36532-2110 | |
(251) 518-9240 | |
Not Available |
Full Name | Mishegas |
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Speciality | Counselor - Professional |
Location | 400 Fairhope Ave, Fairhope, Alabama |
Authorized Official Name and Position | Stephanie Calhoun (COUNSELOR) |
Authorized Official Contact | 2515189240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mishegas 386 Pecan Ave Fairhope AL 36532-1429 Ph: (251) 518-9240 | Mishegas 400 Fairhope Ave Fairhope AL 36532-2110 Ph: (251) 518-9240 |
NPI Number | 1770090151 |
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Provider Enumeration Date | 01/07/2018 |
Last Update Date | 01/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770090151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 980 (Alabama) | Primary |
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