Individual provider · Type 1 NPI

Jeffrey Jack, MA, LPCC

Mental Health Counselor · Cleveland, OH

NPI number 1346754124 Active

Practice location

2801 Martin Luther King Jr Dr
Cleveland, OH 44104

Call (216) 448-6325 Map

Other practice locations

  • 3929 Rocky River Dr, Cleveland, OH 44111-4153 · (216) 252-5800
  • 2801 Martin Luther King Jr Dr, Cleveland, OH 44104 · (216) 448-6325

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1346754124

Jeffrey Jack, MA, LPCC's National Provider Identifier is 1346754124, issued on Dec 1, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on Mar 29, 2022.