person
Jessica Condon
Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina
NPI 1801343025

Jessica Condon is an Addiction (Substance Use Disorder) Counselor based in Charlotte, NC and is specialized in Addiction (Substance Use Disorder). Jessica Condon practices in Charlotte, NC. The NPI Number for Jessica Condon is 1801343025 and holds a License No. A12260 (North Carolina).

The current practice location address for Jessica Condon is 1515 Mockingbird Ln, Charlotte, NC and can be reached out via phone at 704-370-9405.

Location: 1515 Mockingbird Ln, Charlotte, NC, 28209-3236
person
Provider Profile Details
NPI Number
1801343025
Provider Name
Jessica Condon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1515 Mockingbird Ln, Charlotte, NC, 28209-3236
Phone Number
704-370-9405
Fax Number
Provider Enumeration Date
09/06/2016
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
12260 01 NC LPCA
22166 01 NC LCASA
institution
Provider Business Practice Location Address Details
Address
1515 Mockingbird Ln
City
State
Zip
28209-3236
Phone Number
704-370-9405
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Mockingbird Ln
City
State
Zip
28209-3236
Phone Number
704-370-9405
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
22166 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A12260 (North Carolina)
Definition
Definition to come...
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