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PRETHADAWN JACK
NPI 1134534373
Counselor - Mental Health in Brooklyn, NY

Active since June 26, 2014
1911 BERGEN ST, BROOKLYN, NY 11233(718) 495-6862 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prethadawn Jack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRETHADAWN JACK (NPI 1134534373) is an individual mental health provider in Brooklyn, New York, licensed in New York (270311) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1134534373
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePRETHADAWN JACK
Location Address1911 BERGEN STBrooklyn, NY 11233-4602
Mailing Address1911 Bergen StBrooklyn, NY 11233-4602 · (718) 495-6862
Phone(718) 495-6862
Sole ProprietorYes
Enumeration DateJune 26, 2014
✔ NPI 1134534373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 270311
1911 BERGEN ST, Brooklyn, NY 11233
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prethadawn Jack's NPI number?

The NPI number for Prethadawn Jack is 1134534373. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Prethadawn Jack located?

Prethadawn Jack practices at 1911 Bergen St, Brooklyn, NY 11233. The listed phone number is (718) 495-6862.

What is Prethadawn Jack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Prethadawn Jack was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.