JACK COTTOM

PHILADELPHIA, PA
NPI1457755696
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: PA  PC009399)
Enumeration Date2014-10-17
Last Update Date2017-01-19
Business Address
-- JACK COTTOM LPC
2000 SPRING GARDEN ST 1F
PHILADELPHIA, PA 19130-3994
Phone number: 404-918-6042
Mailing Address
-- JACK COTTOM LPC
2000 SPRING GARDEN ST 1F
PHILADELPHIA, PA 19130-3994
Phone number: 404-918-6042