Individual
JEREMY ROBUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 PARADISE LAKE RD, HOOVER, AL 35244-5027
(205) 441-4711
Mailing address
104 PARADISE LAKE RD, HOOVER, AL 35244-5027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3966A
AL
Other
Enumeration date
04/06/2022
Last updated
05/23/2022
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