Provider Demographics
NPI:1710127915
Name:EMERY, JARED (LPC)
Entity Type:Individual
Prefix:MR
First Name:JARED
Middle Name:
Last Name:EMERY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 MCFARLAND BLVD N STE 230
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2179
Mailing Address - Country:US
Mailing Address - Phone:205-391-9777
Mailing Address - Fax:205-397-9766
Practice Address - Street 1:1800 MCFARLAND BLVD N STE 230
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2179
Practice Address - Country:US
Practice Address - Phone:205-391-9777
Practice Address - Fax:205-397-9766
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2380101Y00000X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health