Individual
NICHOLAS JEJUAN PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1796 BIRMINGHAM ROAD, CENTREVILLE, AL 35042-4624
(205) 299-7076
Mailing address
1796 BIRMINGHAM ROAD, CENTREVILLE, AL 35042-4624
(205) 299-7076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC05045
AL
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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