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JACK COTTOM LPC NPI 1457755696


NPI Information

NPI: 1457755696
Provider Name: JACK COTTOM, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2000 SPRING GARDEN ST
1F
PHILADELPHIA, PA
ZIP 19130
Phone: (404) 918-6042
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Jack Cottom, LPC is a professional counselor in Philadelphia, PA. Jack Cottom, LPC NPI is 1457755696. 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:

2000 SPRING GARDEN ST
1F
PHILADELPHIA, PA
ZIP 19130-994
Phone: (404) 918-6042

The enumeration date for this NPI number is 10/17/2014 and was last updated on 1/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalPC009399PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.