| Jerry M. Mott, M. S., Lpc | |
|
1 Office Park Ste 305 273 Azalea Road Mobile AL 36609-1970 | |
| (251) 380-0215 | |
| (251) 304-1113 |
| Full Name | Jerry M. Mott, M. S., Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1 Office Park Ste 305, Mobile, Alabama |
| Authorized Official Name and Position | Jerry Mark Mott (PRESIDENT) |
| Authorized Official Contact | 2513800215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry M. Mott, M. S., Lpc 1140 Shiloh Ct Mobile AL 36609-3069 Ph: (251) 380-0215 | Jerry M. Mott, M. S., Lpc 1 Office Park Ste 305 273 Azalea Road Mobile AL 36609-1970 Ph: (251) 380-0215 |
| NPI Number | 1851652234 |
|---|---|
| Provider Enumeration Date | 06/02/2012 |
| Last Update Date | 06/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851652234 | NPI | - | NPPES |
| 51028546MOT | Other | AL | BLUECROSS BLUESHIELD OF ALABAMA |
| 1557 | Other | AL | LICENSED PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1557 (Alabama) | Primary |
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