KENNER JESSUP

LUMBERTON, NC
NPI1437566270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-07-14
Last Update Date2014-07-14
Business Address
-- KENNER JESSUP LCAS-A
2003 GODWIN AVE
LUMBERTON, NC 28358-3149
Phone number: 910-671-1111
Mailing Address
-- KENNER JESSUP LCAS-A
2003 GODWIN AVE
LUMBERTON, NC 28358-3149
Phone number: