| James M Jack Lpc, Llc | |
|
1201 Philadelphia Pike Wilmington DE 19809-2042 | |
| (302) 798-4400 | |
| Not Available |
| Full Name | James M Jack Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1201 Philadelphia Pike, Wilmington, Delaware |
| Authorized Official Name and Position | James M Jack (OWNER) |
| Authorized Official Contact | 5708784732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James M Jack Lpc, Llc 210 Anita Ct Newark DE 19702-4320 Ph: () - | James M Jack Lpc, Llc 1201 Philadelphia Pike Wilmington DE 19809-2042 Ph: (302) 798-4400 |
| NPI Number | 1023667177 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023667177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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