Provider Demographics
NPI:1932412616
Name:DEAN, JENNIFER HELMS (MA, LCMHC-S)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:HELMS
Last Name:DEAN
Suffix:
Gender:F
Credentials:MA, LCMHC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 INDEPENDENCE POINTE PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2691
Mailing Address - Country:US
Mailing Address - Phone:704-221-2880
Mailing Address - Fax:
Practice Address - Street 1:1811 SARDIS RD N STE 210
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-3002
Practice Address - Country:US
Practice Address - Phone:704-849-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS7932101YM0800X
NC7932101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health