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Individual
MR. JACK THOMAS MAY III
Active
Individual
MR. JACK THOMAS MAY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMF#67534
CA
106H00000X
Marriage & Family Therapist
Primary
94423
CA
106H00000X
Marriage & Family Therapist
IMF#67534
CA
225400000X
Rehabilitation Practitioner
IMF# 67534
CA
Other
Enumeration date
12/21/2011
Last updated
12/24/2024
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