Provider Demographics
NPI:1629758941
Name:WHATLEY, JENNIFER HILLMAN (NCC, ALC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HILLMAN
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:NCC, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 SAINT PATRICK PL N
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3743
Mailing Address - Country:US
Mailing Address - Phone:205-767-8900
Mailing Address - Fax:
Practice Address - Street 1:224 1ST ST N STE 250
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-9071
Practice Address - Country:US
Practice Address - Phone:205-624-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04237101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor