Individual
JESSE QUAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
103 BLACK MOUNTAIN AVE STE 4, BLACK MOUNTAIN, NC 28711-3402
(828) 423-6469
Mailing address
103 BLACK MOUNTAIN AVE STE 4, BLACK MOUNTAIN, NC 28711-3402
(828) 423-6469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C005917
NC
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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