Provider Demographics
NPI:1629575089
Name:ADORNO, JENNIFER O'BRIEN (LCMHC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:O'BRIEN
Last Name:ADORNO
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5006 KINSBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-1601
Mailing Address - Country:US
Mailing Address - Phone:704-953-8238
Mailing Address - Fax:
Practice Address - Street 1:7714 MATTHEWS MINT HILL RD STE B12
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-7598
Practice Address - Country:US
Practice Address - Phone:704-953-8238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13742101YP2500X
NCA13742101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor