Individual
JUANITA CERISE KIRKSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1289 HUEYTOWN RD, HUEYTOWN, AL 35023-2632
(205) 436-8093
(205) 449-5071
Mailing address
1289 HUEYTOWN RD, HUEYTOWN, AL 35023-2632
(205) 436-8093
(205) 449-5071
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3892A
AL
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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