Individual provider · Type 1 NPI

Reisha Jack, LPC

Professional Counselor · Memphis, TN

NPI number 1750856522 Active

Practice location

1037 Cresthaven Rd
Memphis, TN 38119-3833

Fax (901) 682-7136

Mailing address

2231 Oak Hollow Ln
Cordova, TN 38016-5206

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4412 (TN)

Professional Counselor: Definition to come...

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About NPI 1750856522

Reisha Jack, LPC's National Provider Identifier is 1750856522, issued on Oct 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Memphis, TN. The record was last updated on Oct 9, 2018.