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

Individual provider Mental Health Counselor · NPI 1134534373

Prethadawn Jack is a Mental Health Counselor in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

1911 Bergen St
Brooklyn, NY 11233-4602
Phone: (718) 495-6862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 270311 (NY)

Record details

NPI number1134534373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2014
Last updated in NPPESJune 26, 2014

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