Individual
MICHELLE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2308 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 533-4377
(256) 539-7874
Mailing address
2605 WHITESBURG DR SE, HUNTSVILLE, AL 35801-2836
(256) 533-4377
(256) 539-7874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3817C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
09/15/2015
Last updated
03/10/2016
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