Individual provider · Type 1 NPI

Jessica Covington Condon

Professional Counselor · Charlotte, NC

NPI number 1801343025 Active

Practice location

5200 Park Rd Ste 227
Charlotte, NC 28209-3673

Call (704) 370-9405 Map

Mailing address

4334 Castleton Rd
Charlotte, NC 28211

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X12260 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X22166 (NC)

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About NPI 1801343025

Jessica Covington Condon's National Provider Identifier is 1801343025, issued on Sep 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Feb 5, 2026.