GREGORY BRUCE JACK

PLAINFIELD, CT
NPI1164517512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CT  000758)
Enumeration Date2006-10-03
Last Update Date2024-11-14
Business Address
Mr. GREGORY BRUCE JACK LPC
50 ACADEMY HILL ROAD
PLAINFIELD, CT 06374
Phone number: 860-564-3015
Mailing Address
Mr. GREGORY BRUCE JACK LPC
50 ACADEMY HILL ROAD, P.O. BOX 201
PLAINFIELD, CT 06374
Phone number: 860-564-3015