Organization
CHESNUT COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY M CHESNUT LPC (LICENSED PROFESSIONAL COUNSELOR)
(205) 901-6353
Entity
Organization
Contact information
Practice address
3005 ALISA WAY, BIRMINGHAM, AL 35243-5321
(256) 203-0122
Mailing address
3005 ALISA WAY, BIRMINGHAM, AL 35243-5321
(205) 901-6353
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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