| John Jack Hupert, Lmft, Pllc | |
|
4030 Poinciana Ave Coconut Grove FL 33133-6329 | |
| (305) 877-0033 | |
| Not Available |
| Full Name | John Jack Hupert, Lmft, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4030 Poinciana Ave, Coconut Grove, Florida |
| Authorized Official Name and Position | Jack Hupert (THERAPIST) |
| Authorized Official Contact | 3058770033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Jack Hupert, Lmft, Pllc 4030 Poinciana Ave Coconut Grove FL 33133-6329 Ph: (305) 877-0033 | John Jack Hupert, Lmft, Pllc 4030 Poinciana Ave Coconut Grove FL 33133-6329 Ph: (305) 877-0033 |
| NPI Number | 1689041964 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689041964 | NPI | - | NPPES |
| Z3325A | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT0599 (Florida) | Primary |
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