Jack Reid, PCCI1189
Jack Reid, PCCI1189 is a Mental Health Counselor in San Francisco, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
110 Gough St Ste 202San Francisco, CA 94102-5945
Phone: (415) 944-3628
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence PCCI 1189 (CA) |
|---|
Record details
| NPI number | 1811394364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PCCI1189 |
| Sole proprietor | No |
| NPI enumerated | November 28, 2014 |
| Last updated in NPPES | January 21, 2016 |
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