Individual
DILDRA JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2940 BREEZEWOOD AVE, FAYETTEVILLE, NC 28303-5520
(910) 817-2650
Mailing address
PO BOX 63, BLADENBORO, NC 28320-0063
(910) 874-0647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14413
NC
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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