Individual
MR. JESSE ELIJAH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ED.S, NCC, LPCA
Contact information
Practice address
1801 E 5TH STREET, #208, CHARLOTTE, NC 28204
(828) 447-5180
Mailing address
1801 E 5TH ST STE 208, CHARLOTTE, NC 28204-3400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11730
NC
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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