Individual
MR. JAMES KENNETH TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2501 WOODLAND RD, 2501 WOODLAND ROAD, TUSCALOOSA, AL 35404-5028
(205) 348-7236
(205) 348-9368
Mailing address
2836 46TH AVE E, TUSCALOOSA, AL 35404-5170
(205) 348-7236
(205) 348-9368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1235C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6232084
UNITED BEHAVIORAL HEALTH
AL
Enumeration date
08/09/2006
Last updated
07/08/2007
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