Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY WALLACE JACK, LCPC
ActiveJEREMY WALLACE JACK, LCPC is a Counselor healthcare provider located in BILLINGS, Montana. NPI 1396039897 is currently active in the NPPES registry. Verify at CMS.
Counselor · BILLINGS, MT
Registration Details
- NPI Number
- 1396039897
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2011 (15.22150764184 yrs)
- Last Updated
- Aug 31, 2020
- License
-
31177 (MT)
Practice Information
- Address
-
1411 MAIN ST STE B-CBILLINGS, MT, 591051712Browse MT providers · Browse ZIP 59105
- Phone
- 4066069552
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Counselor
Other Counselor Providers in BILLINGS, MT
| Name | Credential | NPI |
|---|---|---|
| AMBER A AULT | LCPC | 1093703472 |
| MS. DUSTIN CAMILLE MACHLER | LAC LCPC CRC | 1669589859 |
| ALAN COLLIER OSTBY | LCPC PHD | 1912019951 |
| MS. KELLY L CHRISTY | LCPC | 1952413999 |
| MS. JUDITH CHERYL SILVERMAN | LCPC | 1568574598 |
| THERESA M BLAZEK | LCPC | 1114003381 |
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.