Most Relevant Information
Provider Data
| NPI Number: | 1003670498 |
| Provider Name: | DORELLE WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | ALC04806 |
Most Important Dates
| Enumeration Date: | 02/07/2024 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
524 HUFFMAN RD
BIRMINGHAM
AL
352158300
Practice Location Phone/Fax
| Phone: | 2059944563 |
| Fax: | 2052067131 |
Provider Mailing Location
524 HUFFMAN RD
BIRMINGHAM
AL
352158300
Provider Mailing Phone/Fax
| Phone: | 2059944563 |
| Fax: | 2052067131 |