Organization
JOHN JACK HUPERT, LMFT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK HUPERT LMFT (THERAPIST)
(305) 877-0033
Entity
Organization
Contact information
Practice address
4030 POINCIANA AVE, COCONUT GROVE, FL 33133-6329
(305) 877-0033
Mailing address
4030 POINCIANA AVE, COCONUT GROVE, FL 33133-6329
(305) 877-0033
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z3325A
MEDICARE
FL
Enumeration date
08/21/2015
Last updated
08/21/2015
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