Provider Demographics
NPI:1093496655
Name:WEBB, JESSICA M (ALC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:WEBB
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 INVERNESS LNDG
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3831
Mailing Address - Country:US
Mailing Address - Phone:205-529-2161
Mailing Address - Fax:
Practice Address - Street 1:250 YEAGER PKWY UNIT B
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1800
Practice Address - Country:US
Practice Address - Phone:650-735-2421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health