Individual
KEITH PARHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5690 WATERMELON RD STE 310, NORTHPORT, AL 35473-5009
(205) 391-9777
(205) 391-9766
Mailing address
13682 RANDA PKWY, NORTHPORT, AL 35475-3497
(205) 799-4231
(205) 391-9766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1504
AL
Other
Enumeration date
11/02/2006
Last updated
07/21/2022
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