Individual
JESSICA PHIPPS OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC, LCAS
Contact information
Practice address
117 SCUPPERNONG RD, MANTEO, NC 27954-9300
(336) 682-1159
Mailing address
117 SCUPPERNONG RD, MANTEO, NC 27954-9300
(336) 682-1159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
07/09/2025
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