Individual provider · Type 1 NPI
Alfred Donnell Couch Sr., LADAC II, NCACI, ADS
Addiction (Substance Use Disorder) Counselor · Memphis, TN
NPI number
1417398447
Active
Practice location
St. Francis Med Bldg,loewenberg Bldg, Ste 406 6005 Park
Memphis, TN 38119
Fax (901) 366-4260
Mailing address
6005 Park Ave Ste 406
Memphis, TN 38119-5214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LDC0000000201 (TN) |
| Mental Health Counselor | 101YM0800X | L000000033783 (TN) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | L000000033783 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1417398447
Alfred Donnell Couch Sr., LADAC II, NCACI, ADS's National Provider Identifier is 1417398447, issued on Jul 6, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, TN. The record was last updated on Dec 6, 2023.