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Mr. Gregory Bruce Jack, LPC
Professional Counselor in Plainfield, Connecticut
NPI 1164517512

Gregory Bruce Jack is a Professional Counselor based in Plainfield, CT and is specialized in Professional. Gregory Bruce Jack practices in Plainfield, CT and has the professional credentials of LPC. The NPI Number for Gregory Bruce Jack is 1164517512 and holds a License No. 000758 (Connecticut).

The current practice location address for Gregory Bruce Jack is 50 Academy Hill Road, Plainfield, CT and can be reached out via phone at 860-564-3015 and via fax at 860-564-3025.

Location: 50 Academy Hill Road, Plainfield, CT, 06374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164517512
Provider Name
Gregory Bruce Jack
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
50 Academy Hill Road, Plainfield, CT, 06374
Phone Number
860-564-3015
Fax Number
860-564-3025
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
50 Academy Hill Road
City
Plainfield
State
Connecticut
Zip
06374
Phone Number
860-564-3015
Fax Number
860-564-3025
person
Provider Business Mailing Address Details
Address
50 Academy Hill Road
City
Plainfield
State
Connecticut
Zip
06374
Phone Number
860-564-3015
Fax Number
860-564-3025
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
000758 (Connecticut)
Definition
Definition to come...
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