Individual provider · Type 1 NPI

Corey Jack

Mental Health Counselor · Sunset, LA

NPI number 1447703285 Active

Practice location

311 Macarthur Dr
Sunset, LA 70584-6212

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447703285

Corey Jack's National Provider Identifier is 1447703285, issued on Jul 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sunset, LA. The record was last updated on Jul 28, 2016.