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2327 Pansy St Sw Ste C Huntsville AL 35801-3804 | |
(256) 474-8981 | |
Not Available |
Full Name | |
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Speciality | Counselor - Professional |
Location | 2327 Pansy St Sw Ste C, Huntsville, Alabama |
Authorized Official Name and Position | Jillian G Thomson (MANAGING MEMBER) |
Authorized Official Contact | 4787143448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2327 Pansy St Sw Ste C Huntsville AL 35801-3804 Ph: (256) 474-8981 | 2327 Pansy St Sw Ste C Huntsville AL 35801-3804 Ph: (256) 474-8981 |
NPI Number | 1194420703 |
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Provider Enumeration Date | 04/03/2023 |
Last Update Date | 06/06/2023 |
Certification Date | 06/06/2023 |
Identifier | Type | State | Issuer |
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1194420703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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