Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN JESSUP, LAC
Active Sole ProprietorKEVIN JESSUP, LAC is a Mental Health Counselor healthcare provider located in PHOENIX, Arizona. NPI 1003328865 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PHOENIX, AZ
Registration Details
- NPI Number
- 1003328865
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2017 (8.789766069459 yrs)
- Last Updated
- Nov 1, 2017
- License
-
LAC-14006 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4214 N 19TH PLPHOENIX, AZ, 850165427Browse AZ providers · Browse ZIP 85016
- Phone
- 6024605350
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| BARRY OBLAS | MSW | 1801880877 |
| MR. ADDAM LEE GROSS | MC, LPC | 1164419313 |
| MR. BEN HEDBERG | LPC | 1134117823 |
| JOAN EILEEN GALE | LCSW | 1497744346 |
| DONALD L KOONCE | LCSW | 1689652505 |
| MR. TRAVIS EUGENE FRYE | LPC | 1366410029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.