Organization
CRESCENT COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE A WALL LICSW (CLINICAL THERAPIST)
(205) 418-8223
Entity
Organization
Contact information
Practice address
459 MAIN ST # 357, TRUSSVILLE, AL 35173-1416
(205) 418-8223
(205) 708-0094
Mailing address
459 MAIN ST # 357, TRUSSVILLE, AL 35173-1416
(205) 418-8223
(205) 708-0094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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