KEVIN JESSUP

PHOENIX, AZ
NPI1003328865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-14006)
Enumeration Date2017-11-01
Last Update Date2017-11-01
Business Address
KEVIN JESSUP LAC
4214 N 19TH PL
PHOENIX, AZ 85016-5427
Phone number: 602-460-5350
Mailing Address
KEVIN JESSUP LAC
4214 N 19TH PL
PHOENIX, AZ 85016-5427
Phone number: 602-460-5350
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