Provider Demographics
NPI:1326381278
Name:WHITFIELD, JESSICA (LPC, MHSP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 CHICKASAW TRACE DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-1046
Mailing Address - Country:US
Mailing Address - Phone:615-260-3285
Mailing Address - Fax:
Practice Address - Street 1:80 CHICKASAW TRACE DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:TN
Practice Address - Zip Code:38060-1046
Practice Address - Country:US
Practice Address - Phone:615-260-3285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3602101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health