Individual
MS. JACQUELYN JAY PAUL-STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, MAC
Contact information
Practice address
4273 CR 36, HARTFORD, AL 36362-0000
(334) 588-0010
Mailing address
4273 CR 36, HARTFORD, AL 36362-0000
(334) 588-0010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2006016237
MO
101YM0800X
Mental Health Counselor
Primary
2489
AL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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