person
Jack Reid, PCCI#1189
Mental Health Counselor in San Francisco, California
NPI 1811394364

Jack Reid is a Mental Health Counselor based in San Francisco, CA and is specialized in Mental Health. Jack Reid practices in San Francisco, CA and has the professional credentials of PCCI#1189. The NPI Number for Jack Reid is 1811394364 and holds a License No. PCCI 1189 (California).

The current practice location address for Jack Reid is 110 Gough St, San Francisco, CA and can be reached out via phone at 415-944-3628.

Location: 110 Gough St, San Francisco, CA, 94102-5945
person
Provider Profile Details
NPI Number
1811394364
Provider Name
Jack Reid
Credential
PCCI#1189
Provider Entity Type
Individual
Gender
Male
Address
110 Gough St, San Francisco, CA, 94102-5945
Phone Number
415-944-3628
Fax Number
Provider Enumeration Date
11/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Gough St
City
State
Zip
94102-5945
Phone Number
415-944-3628
Fax Number
person
Provider Business Mailing Address Details
Address
110 Gough St
City
State
Zip
94102-5945
Phone Number
415-944-3628
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PCCI 1189 (California)
Definition
Definition to come...
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