Organization
JAMES M JACK LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M JACK JR. LPCMH (OWNER)
(570) 878-4732
Entity
Organization
Contact information
Practice address
1201 PHILADELPHIA PIKE, WILMINGTON, DE 19809-2042
(302) 798-4400
Mailing address
210 ANITA CT, NEWARK, DE 19702-4320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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