person
Marcus Jack
Professional Counselor in Chicago, Illinois
NPI 1306591342

Marcus Jack is a Professional Counselor based in Stone Mountain, IL and is specialized in Professional. Marcus Jack practices in Chicago, IL. The NPI Number for Marcus Jack is 1306591342 and holds a License No. 180014299 (Illinois).

The current practice location address for Marcus Jack is 12400 S Michigan Ave, Chicago, IL and can be reached out via phone at 770-912-5225.

Location: 12400 S Michigan Ave, Chicago, IL, 30087-2954
person
Provider Profile Details
NPI Number
1306591342
Provider Name
Marcus Jack
Credential
Provider Entity Type
Individual
Gender
Male
Address
12400 S Michigan Ave, Chicago, IL, 30087-2954
Phone Number
770-912-5225
Fax Number
Provider Enumeration Date
02/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12400 S Michigan Ave
City
State
Zip
60628-7347
Phone Number
770-912-5225
Fax Number
person
Provider Business Mailing Address Details
Address
12400 S Michigan Ave
City
State
Zip
60628-7347
Phone Number
770-912-5225
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180014299 (Illinois)
Definition
Definition to come...
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