Individual provider · Type 1 NPI
Jack Henry Gonzalez Neal, MED, MS
Mental Health Counselor · Athens, GA
NPI number
1265229827
Active
Practice location
110 Carlton St Athens Ga 30602
Athens, GA 30602-0001
Mailing address
110 Carlton St Athens Ga 30602 Room 424
Athens, GA 30602-0001
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 1265229827
Jack Henry Gonzalez Neal, MED, MS's National Provider Identifier is 1265229827, issued on Apr 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Athens, GA. The record was last updated on Apr 24, 2025.