Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 3827 | AL |
NPI | 1003583584 |
---|---|
Provider Name | Daniel Jackson Birdsong |
First Address | Alabaster, AL 35114-4935 |
Second Address | Helena, AL 35080-4028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2021 |
Last Update Date | 24/08/2021 |