Individual
KATHERINE JACOCKS POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2115 DATA PARK CIR, HOOVER, AL 35244-1252
(205) 705-0195
Mailing address
1034 23RD ST S STE 102, BIRMINGHAM, AL 35205-2462
(205) 705-0195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4379
AL
Other
Enumeration date
04/03/2021
Last updated
04/03/2021
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