Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT PAUL JACK
Active Sole ProprietorMATT PAUL JACK is a Mental Health Counselor healthcare provider located in STRINGTOWN, Oklahoma. NPI 1932592714 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · STRINGTOWN, OK
Registration Details
- NPI Number
- 1932592714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2015 (11.390433142534 yrs)
- Last Updated
- Mar 18, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1020 EAST 43 HWYSTRINGTOWN, OK, 74569Browse OK providers · Browse ZIP 74569
- Phone
- 5802391004
- Primary Specialty
-
Mental Health Counselor
101YM0800X
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.