Individual provider · Type 1 NPI

Jessica Charles Gentry, CADC

Addiction (Substance Use Disorder) Counselor · Brasstown, NC

NPI number 1679141279 Active

Practice location

7450 US Highway 64 West
Brasstown, NC 28902

Mailing address

7540 Highway 64 W
Brasstown, NC 28902-8079

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADC-25963 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679141279

Jessica Charles Gentry, CADC's National Provider Identifier is 1679141279, issued on Jun 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brasstown, NC. The record was last updated on Jun 11, 2021.