Provider Demographics
NPI:1770265597
Name:NASON, LOREN (CRC, ALC)
Entity type:Individual
Prefix:
First Name:LOREN
Middle Name:
Last Name:NASON
Suffix:
Gender:F
Credentials:CRC, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 654
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-0654
Mailing Address - Country:US
Mailing Address - Phone:251-404-9853
Mailing Address - Fax:
Practice Address - Street 1:30 N FLORIDA ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3108
Practice Address - Country:US
Practice Address - Phone:251-202-9649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04554101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALALC04554OtherALABAMA BOARD OF EXAMINER'S IN COUNSELING