Kevin Jessup, LAC - Counselor in Phoenix, AZ

Kevin Jessup, LAC is a Counselor - Mental Health based in Phoenix, Arizona. Kevin Jessup is licensed to practice in Arizona (license number LAC-14006) and his current practice location is 4214 N 19th Pl, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 460-5350.

NPI number for Kevin Jessup is 1003328865 and his current mailing address is 4214 N 19th Pl, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003328865.

Contact Information

Kevin Jessup, LAC
4214 N 19th Pl,
Phoenix, AZ 85016-5427
(602) 460-5350
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKevin Jessup
GenderMale
SpecialityCounselor - Mental Health
Location4214 N 19th Pl, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003328865
  • Provider Enumeration Date: 11/01/2017
  • Last Update Date: 11/01/2017

Medical Identifiers

Medical identifiers for Kevin Jessup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003328865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LAC-14006 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Jessup is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Jessup, LAC
4214 N 19th Pl,
Phoenix, AZ 85016-5427

Ph: (602) 460-5350
Kevin Jessup, LAC
4214 N 19th Pl,
Phoenix, AZ 85016-5427

Ph: (602) 460-5350

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