Provider Demographics
NPI:1831464767
Name:MCKOY, JESSICA HOPE (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:HOPE
Last Name:MCKOY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 NORTHPOINT AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7738
Mailing Address - Country:US
Mailing Address - Phone:336-841-6083
Mailing Address - Fax:336-841-6330
Practice Address - Street 1:155 NORTHPOINT AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7738
Practice Address - Country:US
Practice Address - Phone:336-841-6083
Practice Address - Fax:336-841-6330
Is Sole Proprietor?:No
Enumeration Date:2012-03-10
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11613101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional