Provider Demographics
NPI:1801538178
Name:TERRELL, JULIUS J (ALC)
Entity type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:J
Last Name:TERRELL
Suffix:
Gender:M
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 PRIVATE ROAD 1601
Mailing Address - Street 2:
Mailing Address - City:CHANCELLOR
Mailing Address - State:AL
Mailing Address - Zip Code:36316-7268
Mailing Address - Country:US
Mailing Address - Phone:334-237-3838
Mailing Address - Fax:334-489-4606
Practice Address - Street 1:930 PRIVATE ROAD 1601
Practice Address - Street 2:
Practice Address - City:CHANCELLOR
Practice Address - State:AL
Practice Address - Zip Code:36316-7268
Practice Address - Country:US
Practice Address - Phone:334-237-3838
Practice Address - Fax:334-489-4606
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3708A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)