Provider Demographics
NPI:1508068396
Name:ALFANO-DREYSPRING, MARIANNE (LPC)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:ALFANO-DREYSPRING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:ALFANO
Other - Last Name:DREYSPRING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1112 26TH ST S
Mailing Address - Street 2:APT.513
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2461
Mailing Address - Country:US
Mailing Address - Phone:205-930-0605
Mailing Address - Fax:205-481-8558
Practice Address - Street 1:985 9TH AVE SW
Practice Address - Street 2:SUITE 261
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4500
Practice Address - Country:US
Practice Address - Phone:205-481-8555
Practice Address - Fax:205-481-8558
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1025101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional