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Individual

JERREL EDWARD IVEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
6324 WOODMERE BLVD, MONTGOMERY, AL 36117-2537
(334) 272-3889
(334) 272-4089
Mailing address
PO BOX 230310, MONTGOMERY, AL 36123-0310
(334) 272-3889
(334) 272-4089

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC #1147
AL

Other

Enumeration date
10/10/2005
Last updated
07/08/2007
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