Jack Cottom, LPC

NPI 1457755696 · on the registry since 2014 · sole proprietor

Practice

Address: 2000 Spring Garden St
1f
Philadelphia, PA 19130
Phone: (404) 918-6042
Organisation at this address: 2000 Sg Associates Pc
Highview Home Care Llc
Highview Home Care Llc
Therapy And Consultation Services
7622 Medical Center Dba 1900 S.G. Associates
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-19

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 Pennsylvania