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

JACK REID, PCCI #1189

Active

JACK REID, PCCI #1189 is a Mental Health Counselor healthcare provider located in SAN FRANCISCO, California. NPI 1811394364 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SAN FRANCISCO, CA

Registration Details

NPI Number
1811394364
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2014 (11.728527345944 yrs)
Last Updated
Jan 21, 2016
License
PCCI 1189 (CA)

Practice Information

Address
110 GOUGH ST
SUITE 202
SAN FRANCISCO, CA, 941025945
Browse CA providers · Browse ZIP 94102
Phone
4159443628
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SAN FRANCISCO, CA

Name Credential NPI
MS. STEPHANIE KIPPERMAN LCSW 1245297126
MS. AMY G. RASSEN LCSW 1376574830
MR. JOHN C. BOLING M.S.W. 1629096730
MS. NANCY PAYNE LEWIS MFT 1518980333
DR. VICTORIA TICHENOR PH.D. 1295740983
ANGELA Y MA LCSW 1467464487
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.