Individual
MRS. JANE FORSYTH COSTENBADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2305 ARLINGTON AVE S, BIRMINGHAM, AL 35205-4111
(205) 933-9276
(205) 933-9289
Mailing address
2305 ARLINGTON AVE S, BIRMINGHAM, AL 35205-4111
(205) 933-9276
(205) 933-9280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1201
AL
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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