Healthcare Provider Details

I. General information

NPI: 1548547938
Provider Name (Legal Business Name): JESSICA HOBBS LUKE LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 AURORA DR
ASHEVILLE NC
28805-1705
US

IV. Provider business mailing address

215 AURORA DR
ASHEVILLE NC
28805-1705
US

V. Phone/Fax

Practice location:
  • Phone: 828-507-3484
  • Fax:
Mailing address:
  • Phone: 828-507-3484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA8925
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: