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Organization

K K ENTERPRISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN KNUTSSON ALC, NCC, M.ED. (DIRECTOR)
(205) 936-0489
Entity
Organization

Contact information

Practice address
100 CENTURY PARK S STE 102, BIRMINGHAM, AL 35226-3922
(888) 386-9624
(205) 383-3253
Mailing address
2328 ALTADENA CREST DR, BIRMINGHAM, AL 35242-4400
(205) 936-0489

Taxonomy

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

Other

Enumeration date
12/08/2019
Last updated
12/11/2019
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