# JOHN JACK HUPERT, LMFT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689041964
- **Authorized official:** MR. JACK HUPERT LMFT (THERAPIST)
- **Authorized official phone:** (305) 877-0033

## Contact information

- **Practice address:** 4030 POINCIANA AVE, COCONUT GROVE, FL 33133-6329
- **Practice address phone:** (305) 877-0033
- **Mailing address:** 4030 POINCIANA AVE, COCONUT GROVE, FL 33133-6329
- **Mailing address phone:** (305) 877-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT0599 | FL | Yes |

## Other

- **Enumeration date:** 08/21/2015
- **Last updated:** 08/21/2015