Provider Demographics
NPI:1053470807
Name:CONRAD, NORMA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:
Last Name:CONRAD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4329 MARQUETTE DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1807
Mailing Address - Country:US
Mailing Address - Phone:251-342-3389
Mailing Address - Fax:
Practice Address - Street 1:273 AZALEA RD
Practice Address - Street 2:ONE OFFICE PARK SUITE 305
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1970
Practice Address - Country:US
Practice Address - Phone:251-344-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1527101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health