Individual
AMBER CARPENTER VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 DATA PARK CIR, HOOVER, AL 35244-1252
(205) 705-0195
Mailing address
2115 DATA PARK CIR, HOOVER, AL 35244-1252
(205) 705-0195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4445
AL
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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