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

Jill Michele Lack

Individual provider Mental Health Counselor · NPI 1770117442

Jill Michele Lack is a Mental Health Counselor in Danvers, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020

Practice location Address checks out

199 Rosewood Dr Ste 250
Danvers, MA 01923-1684
Phone: (978) 968-1719
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 3679 (MA)

Record details

NPI number1770117442
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2020
Last updated in NPPESMarch 2, 2020
Certification dateMarch 2, 2020
Mailing address199 Rosewood Dr Ste 250, Danvers, MA 01923-1684

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