Organization
THE JEWEL PROFESSOR LLC
Active
Other names
The Jewel Professor
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY GIBSON ALC (COUNSELOR)
(334) 524-7897
Entity
Organization
Contact information
Practice address
903 E TOWNE LAKE CIR, OPELIKA, AL 36804-3207
(334) 444-5869
Mailing address
903 E TOWNE LAKE CIR, OPELIKA, AL 36804-3207
(334) 444-5869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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