Individual provider · Type 1 NPI

Mark Allen Jacocks

Mental Health Counselor · Chattanooga, TN

NPI number 1730763780 Active

Practice location

7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623

Call (423) 499-9335 Map

Fax (423) 499-9334

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X4879 (TN)
Professional Counselor 101YP2500X4879 (TN)
Mental Health Counselor Primary 101YM0800X4879 (TN)

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About NPI 1730763780

Mark Allen Jacocks's National Provider Identifier is 1730763780, issued on May 6, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chattanooga, TN. The record was last updated on May 6, 2021.