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Prethadawn Jack
NPI 1134534373 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1911 Bergen St
Brooklyn, NY 11233 - Phone
- (718) 495-6862
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York