Individual provider · Type 1 NPI

Joseph Mack

Counselor · Havertown, PA

NPI number 1114075736 Active

Practice location

2000 Old West Chester Pike
Havertown, PA 19083-2712

Fax (484) 454-8710

Mailing address

1600 Garrett Rd, Apt. F312
Upper Darby, PA 19082-4472

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPC004107 (PA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114075736

Joseph Mack's National Provider Identifier is 1114075736, issued on Jan 8, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Havertown, PA. The record was last updated on Jul 8, 2007.