| My Friend Jack's House | |
|
2000 N Mcdonald St Ste 400 Mckinney TX 75071-3036 | |
| (214) 585-1414 | |
| Not Available |
| Full Name | My Friend Jack's House |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2000 N Mcdonald St Ste 400, Mckinney, Texas |
| Authorized Official Name and Position | Bonnie Donaldson (OWNER) |
| Authorized Official Contact | 2145851414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Friend Jack's House Po Box 1146 Van Alstyne TX 75495-1146 Ph: (214) 585-1414 | My Friend Jack's House 2000 N Mcdonald St Ste 400 Mckinney TX 75071-3036 Ph: (214) 585-1414 |
| NPI Number | 1356103105 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356103105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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