Provider Demographics
NPI:1528117595
Name:RINGLE, JESSICA BHAKTI (LCMHC, LCAS)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:BHAKTI
Last Name:RINGLE
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CAREFREE LN
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-0150
Mailing Address - Country:US
Mailing Address - Phone:828-788-1123
Mailing Address - Fax:
Practice Address - Street 1:4 CAREFREE LN
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-0150
Practice Address - Country:US
Practice Address - Phone:828-788-1123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2087101YA0400X
NC9072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)