Individual provider · Type 1 NPI

Cheryl Jack, LCDC

Addiction (Substance Use Disorder) Counselor · Texas City, TX

NPI number 1861913469 Active

Practice location

3201 FM 2004 Rd
Texas City, TX 77591-2199

Mailing address

3222 Rippling Falls Ln
Dickinson, TX 77539-6175

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13802 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861913469

Cheryl Jack, LCDC's National Provider Identifier is 1861913469, issued on Jul 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Texas City, TX. The record was last updated on Jul 5, 2017.