Individual
JESSICA CHARLES GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
7450 US HIGHWAY 64 WEST, BRASSTOWN, NC 28902
(828) 837-5335
Mailing address
7540 HIGHWAY 64 W, BRASSTOWN, NC 28902-8079
(828) 831-5335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-25963
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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