Individual
JILLIAN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
2441 INTERNATIONAL PARK DR, BIRMINGHAM, AL 35243-4252
(205) 813-7403
Mailing address
1208 TURF DR, CENTER POINT, AL 35215-3911
(205) 212-0202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04163
AL
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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