Provider Demographics
NPI:1053479584
Name:ABSHIRE, JAMES C (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:ABSHIRE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1841 HONEYSUCKLE RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-4269
Mailing Address - Country:US
Mailing Address - Phone:334-712-1170
Mailing Address - Fax:334-712-1106
Practice Address - Street 1:219 DOTHAN RD
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36310-2836
Practice Address - Country:US
Practice Address - Phone:334-585-5331
Practice Address - Fax:334-585-5965
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2020101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51043903OtherBLUE CROSS AND BLUE SHIEL