Individual
JENNIFER THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ALC, NCC
Contact information
Practice address
11647 AL HIGHWAY 144, RAGLAND, AL 35131-4221
(205) 753-3381
Mailing address
11647 AL HIGHWAY 144, RAGLAND, AL 35131-4221
(205) 753-3381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04208
AL
106S00000X
Behavior Technician
RBT-18-64712
AL
Other
Enumeration date
10/10/2018
Last updated
09/26/2022
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