Individual
JESSICA FEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SANDERS ST, ATHENS, AL 35611-2418
(256) 886-8529
Mailing address
115 MANNING DR SW STE A202, HUNTSVILLE, AL 35801-4341
(256) 886-8529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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