MEDICARE: MISS JESSICA ELLEN KUEHNE M.A.,LPCA, NCC

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
1	101YP2500X	Professional Counselor	A9156	NC

General Provider Information

NPI Number	:	1013281526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JESSICA ELLEN KUEHNE M.A.,LPCA, NCC

Provider Business Mailing Address
First Line	:	105 N GREEN ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-3466
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 N GREEN ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-3466
Country	:	US
Telephone Number	:	828-475-0512
Fax Number	:	828-437-3229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2012
Last Update Date	:	03/01/2012

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