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Individual

JAMES PAUL DESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
111 LONGWOOD DR SW, HUNTSVILLE, AL 35801-4522
(256) 534-8161
(256) 534-7254
Mailing address
111 LONGWOOD DR SW, HUNTSVILLE, AL 35801-4522
(256) 534-8161
(256) 534-7254

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3689
AL

Other

Enumeration date
03/13/2017
Last updated
03/13/2017
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