Individual
JORDAN BLAIR MIZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
701 MONTGOMERY HWY STE 202, VESTAVIA HILLS, AL 35216-1839
(205) 916-0123
(205) 916-0878
Mailing address
701 MONTGOMERY HWY STE 202, VESTAVIA HILLS, AL 35216-1839
(205) 916-0123
(205) 916-0878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3810
AL
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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