MR. Gregory Bruce Jack, LPC is a professional counselor in Plainfield, CT. MR. Gregory Bruce Jack, LPC NPI is 1164517512. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
50 ACADEMY HILL ROAD
PLAINFIELD, CT
ZIP 06374
Phone: (860) 564-3015
Fax: (860) 564-3025
The NPI 1164517512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.