Jessie Staton's National Provider Identifier (NPI) Details
Jessie Staton, LCAS, LCSW
NPI: 1487956397
Enumeration Date: 2010-11-29
Last updated: 2016-09-29
Sole Proprietor: NO
Status: active
Postal Address: 4300-110 SAPPHIRE CT, PORT HUMAN SERVICES, GREENVILLE, NC
Phone: 252-830-7540
Primary Practice Address: 144 COMMUNITY COLLEGE RD, SUITE B, AHOSKIE, NC
Practice's phone: 252-209-8932