Search › North Carolina › 363A00000X
Jesse Illich, PAS1
NPI 1821749383 · on the registry since 2022
Practice
- Address
- 240 Highway 105 Ext Ste 100
Boone, NC 28607 - Phone
- (828) 264-7311
- Fax
- (828) 264-7907
- Organisation at this address
- High Country Community Health
Music Journey Music Therapy Services Of The High Country, L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 3200 S University Dr, Davie, FL
- 301 E Meeting St Ste 101, Morganton, NC
- 448 Cranberry St, Newland, NC
- 1925 N Bridge St Ste 101, Elkin, NC
- 935 State Farm Rd, Boone, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-14
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