Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Pullins, LPC

Individual provider Mental Health Counselor · NPI 1134621964

Jack Pullins, LPC is a Mental Health Counselor in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

111 S Cortez St
Prescott, AZ 86303-4703
Phone: (928) 756-9083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-16329 (AZ)
Counselor Taxonomy 101Y00000X · Licence LPC-16329 (AZ)

Record details

NPI number1134621964
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 7, 2018
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address111 S Cortez St, Prescott, AZ 86303-4703

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