Individual provider · Type 1 NPI
Carol Mack, PSY.D.
Professional Counselor · Pottsville, PA
NPI number
1063714566
Active
Practice location
454 N. Claude A. Lord Blvd.
Pottsville, PA 17901-2706
Fax (570) 628-4344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC003007 (PA) |
Professional Counselor: Definition to come...
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About NPI 1063714566
Carol Mack, PSY.D.'s National Provider Identifier is 1063714566, issued on Dec 3, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pottsville, PA. The record was last updated on Dec 3, 2010.