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Individual

MS. ALEXIS LONG-DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., ALC, NCC

Contact information

Practice address
1229 3RD AVE N, BIRMINGHAM, AL 35203-1628
(205) 910-4168
Mailing address
4737 SUMMER PLACE PKWY, HOOVER, AL 35244-3095
(404) 405-7701

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3229A
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1090779
NCC
AL
01
C3229A
ALC
AL
Enumeration date
03/14/2019
Last updated
03/14/2019
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