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NPI Code Detail

MEDICARE: JESSICA MORRIS LPCA

MEDICARE: JESSICA MORRIS LPCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA12091NC

General Provider Information

NPI Number : 1831557792
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MORRIS LPCA
Provider Business Mailing Address
First Line : PO BOX 31
Second Line :
City : WINDSOR
State : NC
Zip : 27983-0031
Country : US
Telephone Number : 252-509-1370
Fax Number :
Provider Business Practice Location Address
First Line : 607 WASHINGTON ST
Second Line :
City : WILLIAMSTON
State : NC
Zip : 27892-2645
Country : US
Telephone Number : 252-792-8035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2016
Last Update Date : 09/12/2016

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