Individual provider · Type 1 NPI

Orlando Wade Mack, BACHELORS

Mental Health Counselor · Mansfield, LA

NPI number 1073971545 Active

Practice location

809 Polk St
Mansfield, LA 71052-2452

Fax (318) 871-1076

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073971545

Orlando Wade Mack, BACHELORS's National Provider Identifier is 1073971545, issued on Jan 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mansfield, LA. The record was last updated on Jan 29, 2016.