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Individual

DR. JESSE LAINE COUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
5917 OLEANDER DR STE 206, WILMINGTON, NC 28403-4709
(910) 659-9422
Mailing address
4509 PRIOR DR APT 110, WILMINGTON, NC 28412-5169

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6260
NC

Other

Enumeration date
03/03/2026
Last updated
03/03/2026
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