Provider Demographics
NPI:1720334048
Name:ALBRO, MERRY NELSON (LPC, NBCC)
Entity Type:Individual
Prefix:MS
First Name:MERRY
Middle Name:NELSON
Last Name:ALBRO
Suffix:
Gender:F
Credentials:LPC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 WAY THRU THE WOODS SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1268
Mailing Address - Country:US
Mailing Address - Phone:256-355-0717
Mailing Address - Fax:256-355-0717
Practice Address - Street 1:1129 WAY THRU THE WOODS SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1268
Practice Address - Country:US
Practice Address - Phone:256-355-0717
Practice Address - Fax:256-355-0717
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALLICENSE # 1707OtherALABAMA BOARD OF EXAMINERS IN COUNSELING