Individual
KERRY WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2330 HIGHLAND AVE S, BIRMINGHAM, AL 35205-2912
(205) 201-1315
Mailing address
909 HIGHLAND RD, BIRMINGHAM, AL 35209-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05267
AL
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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