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Jack K Hartley
Addiction (Substance Use Disorder) Counselor in Jamestown, North Dakota
NPI 1073158408

Jack K Hartley is an Addiction (Substance Use Disorder) Counselor based in Jamestown, ND and is specialized in Addiction (Substance Use Disorder). Jack K Hartley practices in Jamestown, ND. The NPI Number for Jack K Hartley is 1073158408 and holds a License No. 1034-10-1-19A (North Dakota).

The current practice location address for Jack K Hartley is 520 3Rd St Nw, Jamestown, ND and can be reached out via phone at 701-253-6300.

Location: 520 3Rd St Nw, Jamestown, ND, 58401-2968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073158408
Provider Name
Jack K Hartley
Credential
Provider Entity Type
Individual
Gender
Male
Address
520 3Rd St Nw, Jamestown, ND, 58401-2968
Phone Number
701-253-6300
Fax Number
Provider Enumeration Date
11/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
520 3Rd St Nw
City
Jamestown
State
North Dakota
Zip
58401-2968
Phone Number
701-253-6300
Fax Number
person
Provider Business Mailing Address Details
Address
520 3Rd St Nw
City
Jamestown
State
North Dakota
Zip
58401-2968
Phone Number
701-253-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1034-10-1-19A (North Dakota)
Definition
Definition to come...
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