| Northeast Alabama Clinical Services | |
|
381 Quill Ave Nw Apt 61 Jacksonville AL 36265-1460 | |
| (256) 273-9369 | |
| Not Available |
| Full Name | Northeast Alabama Clinical Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 381 Quill Ave Nw Apt 61, Jacksonville, Alabama |
| Authorized Official Name and Position | Emmanuel Rock (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2562739369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Alabama Clinical Services 68 Madie Ln Lincoln AL 35096-5759 Ph: (205) 362-7124 | Northeast Alabama Clinical Services 381 Quill Ave Nw Apt 61 Jacksonville AL 36265-1460 Ph: (256) 273-9369 |
| NPI Number | 1588302863 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588302863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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