Dildra Jessup, LPCA
Counselor, Professional in Fayetteville, NC. Individual provider (NPI-1).
NPI number1124592977
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1124592977
- Entity type
- Individual (NPI-1)
- Name
- Dildra Jessup
- Credential
- LPCA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2019
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | A14413 | NC | Yes |
Practice location
2940 Breezewood AveFayetteville, NC 28303-5520
Phone 910-817-2650
Mailing address
Po Box 63Bladenboro, NC 28320-0063
Phone 910-874-0647
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