Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Jessup, LAC

Individual provider Mental Health Counselor · NPI 1003328865

Kevin Jessup, LAC is a Mental Health Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4214 N 19th Pl
Phoenix, AZ 85016-5427
Phone: (602) 460-5350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-14006 (AZ)

Record details

NPI number1003328865
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedNovember 1, 2017
Last updated in NPPESNovember 1, 2017

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