Individual provider · Type 1 NPI

Prethadawn Jack

Mental Health Counselor · Brooklyn, NY

NPI number 1134534373 Active

Practice location

1911 Bergen St
Brooklyn, NY 11233-4602

Call (718) 495-6862 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X270311 (NY)

Mental Health Counselor: Definition to come...

Other mental health counselor providers in Brooklyn

See all in Brooklyn →

About NPI 1134534373

Prethadawn Jack's National Provider Identifier is 1134534373, issued on Jun 26, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 26, 2014.