Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 4539 | AL |
NPI | 1336369883 |
---|---|
Provider Name | Mrs. Lauralee Grace Estes |
First Address | Birmingham, AL 35210-2407 |
Second Address | Birmingham, AL 35210-2407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 15/04/2010 |