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NPI Code Detail

MEDICARE: CHRIS SIGVALDSON LMSW

MEDICARE:   CHRIS  SIGVALDSON  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor5167GAL

General Provider Information

NPI Number : 1255905196
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS SIGVALDSON LMSW
Provider Business Mailing Address
First Line : 2501 INTERNATIONAL PARK DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-4253
Country : US
Telephone Number : 205-813-7400
Fax Number :
Provider Business Practice Location Address
First Line : 2501 INTERNATIONAL PARK DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-4253
Country : US
Telephone Number : 205-813-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2021
Last Update Date : 05/15/2021

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Directions to “ CHRIS SIGVALDSON LMSW” Practice Location

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