Marchant, Jack Dylan

Marchant, Jack Dylan is an individual health care provider with primary practice located at 5594 Aisek Street , Juneau AK 99801-9980. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Marchant, Jack Dylan can be contacted via phone (907) 780-3048.

Contact Information

Primary practice address
5594 Aisek Street Juneau AK 99801-9980
Phone: (907) 780-3048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CDCA.170840 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1982122743
LBN Legal business name Marchant, Jack Dylan
Credentials CDCII
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2017
Last updated Feb 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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