Individual
YAILENNE ACEVEDO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
1874 SLAUGHTER RD STE E, MADISON, AL 35758-5907
(256) 715-2223
Mailing address
1874 SLAUGHTER RD STE E, MADISON, AL 35758-5907
(256) 715-2223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05284
AL
106S00000X
Behavior Technician
—
AL
Other
Enumeration date
11/16/2020
Last updated
06/17/2025
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