Individual provider · Type 1 NPI

Kevin Jessup, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1003328865 Active

Practice location

4214 N 19th Pl
Phoenix, AZ 85016-5427

Call (602) 460-5350 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-14006 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1003328865

Kevin Jessup, LAC's National Provider Identifier is 1003328865, issued on Nov 1, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 1, 2017.