DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. JAMES MARVIN JACK JR. LPC

MEDICARE: MR. JAMES MARVIN JACK JR. LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0000936DE

General Provider Information

NPI Number : 1235799933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES MARVIN JACK JR. LPC
Provider Business Mailing Address
First Line : 210 ANITA CT
Second Line :
City : NEWARK
State : DE
Zip : 19702-4320
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 PHILADELPHIA PIKE
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2042
Country : US
Telephone Number : 302-798-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2019
Last Update Date : 06/17/2019

Similar Medicare Providers

1801984828 — MR. MATTHEW J AY MCILRATH D.C.
Practice Location Address:
1201 PHILADELPHIA PIKE
WILMINGTON, DE
19809-2042
Practice Phone: 302-798-7033
Practice Fax:
1871067892 — OLUREMI EMMANUEL OLUDARE
Practice Location Address:
1201 PHILADELPHIA PIKE
WILMINGTON, DE
19809-2042
Practice Phone: 302-798-7033
Practice Fax: 302-798-7033
1023667177 — JAMES M JACK LPC, LLC
Practice Location Address:
1201 PHILADELPHIA PIKE
WILMINGTON, DE
19809-2042
Practice Phone: 302-798-4400
Practice Fax:
1194343475 — MICHAEL MCRAE COUNSELING SERVICES
Practice Location Address:
1201 PHILADELPHIA PIKE
WILMINGTON, DE
19809-2042
Practice Phone: 302-798-7033
Practice Fax:
1578147971 — LIFESTREAM BEHAVIORAL HEALTH
Practice Location Address:
1201 PHILADELPHIA PIKE
WILMINGTON, DE
19809-2042
Practice Phone: 302-798-4400
Practice Fax: 302-798-3002
1982337127 — CAROL JANE HOPKINS LPCMH
Practice Location Address:
1201 PHILADELPHIA PIKE
WILMINGTON, DE
19809-2042
Practice Phone: 302-981-7662
Practice Fax:

Directions to “ MR. JAMES MARVIN JACK JR. LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.