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Contact Information

JESSICA K PACK, MHA, MS, LGC
4330 GLENVIEW AVENUE
#111
GLENVIEW, KY40025-0111
 Phone: 888-252-2842
 Fax: 502-470-3645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Genetic Counselor, MS

170300000X
Indicates primary specialty

NPI Profile & details for JESSICA K PACK · (Female)

NPI Number 1205119575
Status Active
Credentials MHA, MS, LGC
Entity Individual
Enumeration date 09/23/2011
Last updated 04/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN Other 74000172A GENETIC COUNSELING LICENSE
  • NE Other 96 GENETIC COUNSELING LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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