person
Jessica G. Tate, CRC,LCAS,LPC,MAC
Addiction (Substance Use Disorder) Counselor in Greenville, North Carolina
NPI 1235416215

Jessica G. Tate is an Addiction (Substance Use Disorder) Counselor based in Winterville, NC and is specialized in Addiction (Substance Use Disorder). Jessica G. Tate practices in Greenville, NC and has the professional credentials of CRC,LCAS,LPC,MAC. The NPI Number for Jessica G. Tate is 1235416215 and holds a License No. 10900 (North Carolina).

The current practice location address for Jessica G. Tate is 501 Paladin Dr, Greenville, NC and can be reached out via phone at 252-353-5346 and via fax at 252-321-7300. You can also correspond with Jessica G. Tate through the mailing address at 4238 DUDLEYS GRANT DR APT C, WINTERVILLE, NC - 28590-7942 (mailing address contact number: 252-702-7503).

Location: 501 Paladin Dr, Greenville, NC, 28590-7942
person
Provider Profile Details
NPI Number
1235416215
Provider Name
Jessica G. Tate
Credential
CRC,LCAS,LPC,MAC
Provider Entity Type
Individual
Gender
Female
Address
501 Paladin Dr, Greenville, NC, 28590-7942
Phone Number
252-353-5346
Fax Number
252-321-7300
Provider Enumeration Date
11/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10900 01 NC LPC
2062 01 NC LCAS
institution
Provider Business Practice Location Address Details
Address
501 Paladin Dr
City
State
Zip
27834-7826
Phone Number
252-353-5346
Fax Number
252-321-7300
person
Provider Business Mailing Address Details
Address
501 Paladin Dr
City
State
Zip
27834-7826
Phone Number
252-353-5346
Fax Number
252-321-7300
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
168173 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10900 (North Carolina)
Definition
Definition to come...
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