Individual
JENNIFER PAIGE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
100 WESTSIDE DR, DOTHAN, AL 36303-1908
(334) 793-2237
Mailing address
907 DERBYSHIRE DR, DOTHAN, AL 36303-1933
(334) 648-9689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3967A
AL
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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