Individual
JESSIE ANGELA PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
501 BILLINGSLEY RD, STE B, CHARLOTTE, NC 28211-1009
(704) 444-2400
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2520
NC
Other
Enumeration date
10/14/2021
Last updated
07/15/2024
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