| |
1600 4th Ave N Bessemer AL 35020-5711 | |
(205) 703-2020 | |
(205) 957-6601 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 1600 4th Ave N, Bessemer, Alabama |
Authorized Official Name and Position | Jeffrey Moore (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 20529361657 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 11642 Birmingham AL 35202-1642 Ph: (205) 703-2020 | 1600 4th Ave N Bessemer AL 35020-5711 Ph: (205) 703-2020 |
NPI Number | 1023195211 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 11/13/2015 |
Identifier | Type | State | Issuer |
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1023195211 | NPI | - | NPPES |
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