JACK MORTON

MELBOURNE, FL
NPI1588760250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH00004351)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
-- JACK MORTON LMHC
1800 PENN ST STE 12
MELBOURNE, FL 32901-2625
Phone number: 321-768-6800
Mailing Address
-- JACK MORTON LMHC
736 ESPANOLA WAY
MELBOURNE, FL 32901-4140
Phone number: 321-724-9636
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