Provider Demographics
NPI:1528847647
Name:HENRY, JESSICA ERIN (CADC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ERIN
Last Name:HENRY
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ERIN
Other - Last Name:SCHWEIKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 S GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3678
Mailing Address - Country:US
Mailing Address - Phone:828-433-1909
Mailing Address - Fax:828-433-7605
Practice Address - Street 1:400 S GREEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3678
Practice Address - Country:US
Practice Address - Phone:828-433-1909
Practice Address - Fax:828-433-7605
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCADC-25228101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)