KATE JACK MA LLPC NPI 1588216048

NPI Information

NPI: 1588216048
Provider Name: KATE JACK, MA, LLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3351 CLAYSTONE ST SE STE G32
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 259-6827
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Kate Jack, MA, LLPC is a professional counselor in Grand Rapids, MI. Kate Jack, MA, LLPC NPI is 1588216048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3351 CLAYSTONE ST SE STE G32
GRAND RAPIDS, MI
ZIP 49546-794
Phone: (616) 259-6827

The enumeration date for this NPI number is 7/15/2019 and was last updated on 7/15/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401017481	MICHIGAN	Yes

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

NPI Synchronization or Removal

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