Provider Demographics
NPI:1538474804
Name:JAMES, JESSE ALLEN (LPC/MHSP)
Entity Type:Individual
Prefix:MR
First Name:JESSE
Middle Name:ALLEN
Last Name:JAMES
Suffix:
Gender:M
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 1:1531 DICK LONAS RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1259
Mailing Address - Country:US
Mailing Address - Phone:865-602-2940
Mailing Address - Fax:865-602-2039
Practice Address - Street 1:1531 DICK LONAS RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1259
Practice Address - Country:US
Practice Address - Phone:865-602-2940
Practice Address - Fax:865-602-2039
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000002449101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional