Individual
MR. JACK JOSEPH HUPERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, LMFT, CAP
Contact information
Practice address
15100 NW 27TH AVE, OPA LOCKA, FL 33054-2642
(305) 685-8201
(305) 685-0158
Mailing address
15100 NW 27TH AVE, OPA LOCKA, FL 33054-2642
(305) 685-8201
(305) 685-0158
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MTO599
FL
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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