Most Relevant Information
Provider Data
| NPI Number: | 1003695966 |
| Provider Name: | BRANDOLYN DORTCH LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC05037 |
Most Important Dates
| Enumeration Date: | 09/28/2023 |
| Last Updated: | 09/28/2023 |
Provider Practice Location
5750A SOUTHLAND DR
MOBILE
AL
366933316
Practice Location Phone/Fax
| Phone: | 2514502211 |
| Fax: |
Provider Mailing Location
5750A SOUTHLAND DR
MOBILE
AL
366933316
Provider Mailing Phone/Fax
| Phone: | 2514502211 |
| Fax: |