Individual
SHANEKA LYNETTE PROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 21ST STREET ENSLEY, BIRMINGHAM, AL 35218-2963
(205) 224-4387
Mailing address
2073 ALPINE VLG APT C, VESTAVIA HILLS, AL 35216-5936
(205) 914-5137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04343
AL
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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