Individual provider · Type 1 NPI

Brian Jeffrey Pack, BS

Counselor · Lawton, OK

NPI number 1740508159 Active

Practice location

2501 SW E Ave
Lawton, OK 73505-7320

Fax (580) 250-8495

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1740508159

Brian Jeffrey Pack, BS's National Provider Identifier is 1740508159, issued on May 10, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawton, OK. The record was last updated on May 10, 2010.