Jack Cottom, LPC | |
2000 Spring Garden St, 1f, Philadelphia, PA 19130-3994 | |
(404) 918-6042 | |
Not Available |
Full Name | Jack Cottom |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2000 Spring Garden St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457755696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC009399 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jack Cottom, LPC 2000 Spring Garden St, 1f, Philadelphia, PA 19130-3994 Ph: (404) 918-6042 | Jack Cottom, LPC 2000 Spring Garden St, 1f, Philadelphia, PA 19130-3994 Ph: (404) 918-6042 |
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Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130 | |
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