Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE JACK, LPC
ActiveKATHERINE JACK, LPC is a Professional Counselor healthcare provider located in GRAND RAPIDS, Michigan. NPI 1588216048 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1588216048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2019 (7.0372034357713 yrs)
- Last Updated
- Apr 19, 2024
- Licenses
-
0019661 (CO)6401222851 (MI)
Practice Information
- Address
-
3351 CLAYSTONE ST SE STE G32GRAND RAPIDS, MI, 495465794Browse MI providers · Browse ZIP 49546
- Phone
- 6162596827
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MONICA SMITH | RD, LPC | 1770585697 |
| ANN M BIXLER | LPC LLP | 1265403380 |
| ROBERT G DINALLO | PHD LPC | 1538131768 |
| SAMUEL A BEALS | MA LPC | 1073572541 |
| MS. REGINA KAYE ESSEX-DOHERTY | MA LPC | 1114987443 |
| ANGELA M SCOTT | LPC | 1023070232 |
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.