Individual
MISS KIMBERLY DAWN HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
185 CHATEAU DR SW STE 102, HUNTSVILLE, AL 35801-7415
(256) 489-1583
(256) 489-1595
Mailing address
818 CHAREST RD, SOMERVILLE, AL 35670-3315
(256) 565-0992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04801
AL
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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