Individual provider · Type 1 NPI

Jesse James Tate

Mental Health Counselor · Wilmington, NC

NPI number 1770816571 Active

Practice location

610 Varsity Dr
Wilmington, NC 28403-8444

Call (910) 520-2921 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1770816571

Jesse James Tate's National Provider Identifier is 1770816571, issued on Sep 10, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Sep 10, 2009.