Most Relevant Information
Provider Data
| NPI Number: | 1003230202 |
| Provider Name: | CONSUELO CLICK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2537 |
Most Important Dates
| Enumeration Date: | 02/07/2014 |
| Last Updated: | 02/07/2014 |
Provider Practice Location
400 COTTON GIN RD
MONTGOMERY
AL
361173557
Practice Location Phone/Fax
| Phone: | 3342712402 |
| Fax: |
Provider Mailing Location
400 COTTON GIN ROAD
MONTGOMERY
AL
361230550
Provider Mailing Phone/Fax
| Phone: | 3342712402 |
| Fax: |