Provider Demographics
NPI:1053043505
Name:KESSLER, CHARLES GEORGE III (ALC, NCC)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:GEORGE
Last Name:KESSLER
Suffix:III
Gender:M
Credentials:ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 1ST AVE S APT 537
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1855
Mailing Address - Country:US
Mailing Address - Phone:205-807-9334
Mailing Address - Fax:
Practice Address - Street 1:1025 MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2845
Practice Address - Country:US
Practice Address - Phone:205-807-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3566A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health