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Individual

JESSICA KUKLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
5502 CALDWELL MILL RD STE A, BIRMINGHAM, AL 35242-4546
(205) 222-6235
(205) 431-3412
Mailing address
1810 5TH AVE S, IRONDALE, AL 35210-2006
(205) 222-6235

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04524
AL

Other

Enumeration date
03/14/2023
Last updated
07/31/2025
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