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2320 Highland Ave S Ste 290c Birmingham AL 35205-2962 | |
| (205) 201-1693 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 2320 Highland Ave S Ste 290c, Birmingham, Alabama |
| Authorized Official Name and Position | Kayla Lynn Kent (COUNSELOR) |
| Authorized Official Contact | 2052011693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
332 Payne Rd Gardendale AL 35071-2516 Ph: () - | 2320 Highland Ave S Ste 290c Birmingham AL 35205-2962 Ph: (205) 201-1693 |
| NPI Number | 1215536453 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215536453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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