Individual provider · Type 1 NPI

Jack K. Hartley

Addiction (Substance Use Disorder) Counselor · Jamestown, ND

NPI number 1073158408 Active

Practice location

520 3rd St NW
Jamestown, ND 58401-2968

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1034-10-1-19A (ND)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073158408

Jack K. Hartley's National Provider Identifier is 1073158408, issued on Nov 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamestown, ND. The record was last updated on Nov 8, 2019.