Individual
KEVIN JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
4214 N 19TH PL, PHOENIX, AZ 85016-5427
(602) 460-5350
Mailing address
4214 N 19TH PL, PHOENIX, AZ 85016-5427
(602) 460-5350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-14006
AZ
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us