Individual
TYJUANA DEMECIA BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 JOHNSTON ST, OXFORD, AL 36203-2619
(256) 919-7653
Mailing address
1201 JOHNSTON ST, OXFORD, AL 36203-2619
(256) 919-7653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AL
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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