Individual provider · Type 1 NPI
Cecelia Marie Mack, LPC
Professional Counselor · Atlanta, GA
NPI number
1114104478
Active
Practice location
265 Boulevard NE
Atlanta, GA 30312-1208
Mailing address
3725 George Busbee Pkwy NW Apt 1420
Kennesaw, GA 30144-6642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC004994 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC004994 (GA) |
Professional Counselor: Definition to come...
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About NPI 1114104478
Cecelia Marie Mack, LPC's National Provider Identifier is 1114104478, issued on Jan 29, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Feb 25, 2025.