Individual
JESSICA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 COLISEUM BLVD, MONTGOMERY, AL 36109-2708
(334) 279-7810
Mailing address
PO BOX 3223, MONTGOMERY, AL 36109-0223
(334) 279-7830
(334) 277-8862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2745
AL
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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