Individual provider · Type 1 NPI

Jacqueline Mack, M.H.P, M.A.

Mental Health Counselor · Manning, SC

NPI number 1114046687 Active

Practice location

215 Commerce St
Manning, SC 29102-2638

Mailing address

215 N Magnolia St
Sumter, SC 29150-4943

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114046687

Jacqueline Mack, M.H.P, M.A.'s National Provider Identifier is 1114046687, issued on Mar 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manning, SC. The record was last updated on Aug 21, 2007.