Individual provider · Type 1 NPI

Mary Louise Mack, LCMHCS, NCC

Mental Health Counselor · Wilmington, NC

NPI number 1104930700 Active

Practice location

1650 Greenfield St
Wilmington, NC 28401-6456

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3559 (NC)
Mental Health Counselor Primary 101YM0800XS3559 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1104930700

Mary Louise Mack, LCMHCS, NCC's National Provider Identifier is 1104930700, issued on Aug 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Oct 7, 2022.