SearchNorth Carolina101YA0400X

Jessica Tate, CRC, LCAS, LPC, MAC

NPI 1235416215 · on the registry since 2011

Practice

Address
501 Paladin Dr
Greenville, NC 27834
Phone
(252) 353-5346
Fax
(252) 321-7300
Organisation at this address
Port Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YP2500X
101YP2500X
Licence states on file
NC, KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina