Individual
JEREMY MICHAEL RHOADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8939 RED CLOUD ROAD, FORT RUCKER, AL 36362
(334) 255-3447
Mailing address
404 E SOMMER OAK DR, ENTERPRISE, AL 36330-8558
(808) 892-0565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4003A
AL
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
A312
—
Other
Enumeration date
05/03/2022
Last updated
02/21/2023
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