Individual
STEPHANIE BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 LONGWOOD PL, JASPER, AL 35504-7231
(205) 512-1069
(256) 796-7213
Mailing address
15 LONGWOOD PL, JASPER, AL 35504-7231
(205) 512-1069
(205) 512-1069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1990
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268301
—
AL
05
—
284305
—
AL
Enumeration date
04/25/2020
Last updated
07/03/2023
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