Individual provider · Type 1 NPI
Jack Gerhardt McMackin
Addiction (Substance Use Disorder) Counselor · Laguna Hills, CA
NPI number
1073497780
Active
Practice location
24953 Paseo De Valencia Bldg B, Ste 1B
Laguna Hills, CA 92653
Fax (949) 540-0173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1073497780
Jack Gerhardt McMackin's National Provider Identifier is 1073497780, issued on Aug 5, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Laguna Hills, CA. The record was last updated on Aug 5, 2025.