Doctor Name: | MISS JESSICA M ESPADA |
NPI Number: | 1013985092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC , NCC |
License Number: | 87063 |
Business Practice Address: | 132 Poplar Grove Connector Suite B Boone, NC - 286075915 |
Business Phone Number: | 8282648759 |
Business Fax Number: | 8282625687 |
Mailing Address: | 132 Poplar Grove Connector, Suite B BOONE |
State: | NC |
Postal Code: | 286075915 |
Phone Number: | 8282648759 |
Fax Number: | 8282625687 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 87063 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |