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Rodney Jack
Mental Health Counselor in Long Beach, California
NPI 1437329240

Rodney Jack is a Mental Health Counselor based in Long Beach, CA and is specialized in Mental Health. Rodney Jack practices in Long Beach, CA. The NPI Number for Rodney Jack is 1437329240 and holds a License No. (California).

The current practice location address for Rodney Jack is 490 W 14Th St, Long Beach, CA and can be reached out via phone at 562-591-8701.

Location: 490 W 14Th St, Long Beach, CA, 90813-2943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437329240
Provider Name
Rodney Jack
Credential
Provider Entity Type
Individual
Gender
Male
Address
490 W 14Th St, Long Beach, CA, 90813-2943
Phone Number
562-591-8701
Fax Number
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
490 W 14Th St
City
Long Beach
State
California
Zip
90813-2943
Phone Number
562-591-8701
Fax Number
person
Provider Business Mailing Address Details
Address
490 W 14Th St
City
Long Beach
State
California
Zip
90813-2943
Phone Number
562-591-8701
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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