Individual
JESSICA JOANNE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 J N PEASE PL STE 101, CHARLOTTE, NC 28262-4516
(980) 981-1741
(980) 321-7164
Mailing address
1905 J N PEASE PL STE 101, CHARLOTTE, NC 28262-4516
(980) 981-1741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15469
NC
101YM0800X
Mental Health Counselor
A15469
NC
Other
Enumeration date
02/26/2020
Last updated
07/14/2023
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