Provider Demographics
NPI:1982331690
Name:SATURDAY, JENNIFER SISSON (ALC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SISSON
Last Name:SATURDAY
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 1:307 S 5TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-4259
Mailing Address - Country:US
Mailing Address - Phone:256-399-4302
Mailing Address - Fax:205-238-6663
Practice Address - Street 1:307 S 5TH ST STE A
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4259
Practice Address - Country:US
Practice Address - Phone:256-399-4302
Practice Address - Fax:205-238-6663
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3891A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty