person
G Teal Dick, MDIVLPC-S
Professional Counselor in Thorsby, Alabama
NPI 1730355017

G Teal Dick is a Professional Counselor based in Thorsby, AL and is specialized in Professional. G Teal Dick practices in Thorsby, AL and has the professional credentials of MDIVLPC-S. The NPI Number for G Teal Dick is 1730355017 and holds a License No. 1489 (Alabama).

The current practice location address for G Teal Dick is 1881 County Road 627, Thorsby, AL and can be reached out via phone at 205-389-2079.

Location: 1881 County Road 627, Thorsby, AL, 35171-3428
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Provider Profile Details
NPI Number
1730355017
Provider Name
G Teal Dick
Credential
MDIVLPC-S
Provider Entity Type
Individual
Gender
Male
Address
1881 County Road 627, Thorsby, AL, 35171-3428
Phone Number
205-389-2079
Fax Number
Provider Enumeration Date
05/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11812892 01 CAQH
515-45395 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1881 County Road 627
City
State
Zip
35171-8151
Phone Number
205-389-2079
Fax Number
person
Provider Business Mailing Address Details
Address
1881 County Road 627
City
State
Zip
35171-8151
Phone Number
205-389-2079
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1489 (Alabama)
Definition
Definition to come...
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