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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK COTTOM, LPC

Active Sole Proprietor

JACK COTTOM, LPC is a Professional Counselor healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1457755696 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · PHILADELPHIA, PA

Registration Details

NPI Number
1457755696
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2014 (11.810410581517 yrs)
Last Updated
Jan 19, 2017
License
PC009399 (PA)
Sole Proprietor
Yes

Practice Information

Address
2000 SPRING GARDEN ST
1F
PHILADELPHIA, PA, 191303994
Browse PA providers · Browse ZIP 19130
Phone
4049186042
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in PHILADELPHIA, PA

Name Credential NPI
MARGARET ADAMUCCI MS, LPC, NCC 1750380994
MS. MELISSA J RESSLER MA 1295721744
MARY LOU SCHWEITZER LPC 1386624955
DR. BRYAN R. HOLLINGER M.D., M.P.H., A.P.C. 1033160833
MS. MARY KATHERINE VANDEGRIFT LPC 1669427746
MS. CYNTHIA JONES LPC 1538108741
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.