| The Jewel Professor Llc | |
|
903 E Towne Lake Cir Opelika AL 36804-3207 | |
| (334) 444-5869 | |
| Not Available |
| Full Name | The Jewel Professor Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 903 E Towne Lake Cir, Opelika, Alabama |
| Authorized Official Name and Position | Tiffany Gibson (COUNSELOR) |
| Authorized Official Contact | 3345247897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jewel Professor Llc 903 E Towne Lake Cir Opelika AL 36804-3207 Ph: (334) 444-5869 | The Jewel Professor Llc 903 E Towne Lake Cir Opelika AL 36804-3207 Ph: (334) 444-5869 |
| NPI Number | 1306540687 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306540687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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