Individual
BOBBI JALEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 2ND ST, BIRMINGHAM, AL 35214-5312
(205) 202-6667
Mailing address
816 2ND ST, BIRMINGHAM, AL 35214-5312
(205) 202-6667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04929
AL
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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