Individual
MRS. JESSICA MORRISON DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LPC, CCSI
Contact information
Practice address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1118
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1118
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1595
NC
101YM0800X
Mental Health Counselor
10206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043534985
MEDCOST
—
01
—
1565R
BCBS
NC
05
—
6112141
—
NC
Enumeration date
03/22/2010
Last updated
05/17/2017
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