Individual provider · Type 1 NPI

Avery Jack

Mental Health Counselor · Baton Rouge, LA

NPI number 1215411343 Active

Practice location

9420 Lindale Ave Ste B
Baton Rouge, LA 70815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215411343

Avery Jack's National Provider Identifier is 1215411343, issued on Sep 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Sep 25, 2018.