Individual
JADE R LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 5TH AVE S, JASPER, AL 35501-5334
(205) 530-6007
Mailing address
2830 10TH CT S APT A6, BIRMINGHAM, AL 35205-1246
(205) 597-3199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04903
AL
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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