Organization
JACKIE DEVINE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE MOORE DEVINE LPC, NCC (OWNER)
(205) 876-5721
Entity
Organization
Contact information
Practice address
4000 SOUTHLAKE PARK, SUITE 150, HOOVER, AL 35244-3348
(205) 876-5721
Mailing address
4057 S SHADES CREST ROAD, HOOVER, AL 35244-6727
(205) 876-5721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2941
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
Enumeration date
07/09/2022
Last updated
07/09/2022
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