Provider Demographics
NPI:1689848988
Name:PASSMORE, JEANNE MCKEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:MCKEE
Last Name:PASSMORE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:JEANNE
Other - Middle Name:MCKEE
Other - Last Name:PASSMORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:603 PECAN LN
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-2949
Mailing Address - Country:US
Mailing Address - Phone:828-387-6520
Mailing Address - Fax:
Practice Address - Street 1:603 PECAN LN
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2949
Practice Address - Country:US
Practice Address - Phone:828-387-6520
Practice Address - Fax:910-640-1402
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104034Medicaid