Individual provider · Type 1 NPI

Jesse Jacob Lile, M.A.

Professional Counselor · Winston Salem, NC

NPI number 1801068440 Active

Practice location

5000 Country Club Rd.
Winston Salem, NC 27104

Call (336) 714-5478 Map

Mailing address

1122 Melrose St
Winston Salem, NC 27103-4437

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6731 (NC)
Marriage & Family Therapist 106H00000XNone listed

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About NPI 1801068440

Jesse Jacob Lile, M.A.'s National Provider Identifier is 1801068440, issued on Mar 24, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 24, 2008.