Individual provider · Type 1 NPI
Jack Lamont Solomon Jr.
Mental Health Counselor · Hazel Crest, IL
NPI number
1144110560
Active
Practice location
17055 Jodave Ave
Hazel Crest, IL 60429-1409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1144110560
Jack Lamont Solomon Jr.'s National Provider Identifier is 1144110560, issued on Jul 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hazel Crest, IL. The record was last updated on Jul 7, 2025.