Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK K HARTLEY
Active Sole ProprietorJACK K HARTLEY is a Addiction (Substance Use Disorder) Counselor healthcare provider located in JAMESTOWN, North Dakota. NPI 1073158408 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · JAMESTOWN, ND
Registration Details
- NPI Number
- 1073158408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2019 (6.7515641027658 yrs)
- Last Updated
- Nov 8, 2019
- License
-
1034-10-1-19A (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520 3RD ST NWJAMESTOWN, ND, 584012968Browse ND providers · Browse ZIP 58401
- Phone
- 7012536300
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in JAMESTOWN, ND
| Name | Credential | NPI |
|---|---|---|
| LORI MAE EVJEN | LAC | 1558475061 |
| SANDRA L RIVINIUS | LAC | 1871608570 |
| ANGELA M LEHR | LAC | 1033226337 |
| HENRY KATES JR. | LAC | 1679645360 |
| MS. PAMELA SAGNESS | LAC | 1063577328 |
| MS. LINDSEY ABERLE HALLSTEN | LAC LICENSED ADDICTI | 1033274394 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.