Individual provider · Type 1 NPI

Michael Mack

Addiction (Substance Use Disorder) Counselor · Boulder, CO

NPI number 1114333796 Active

Practice location

3450 Broadway St
Boulder, CO 80304-1824

Call (303) 441-1100 Map

Mailing address

4347 E 135th Way
Thornton, CO 80241-1583

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114333796

Michael Mack's National Provider Identifier is 1114333796, issued on Jul 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder, CO. The record was last updated on Jul 3, 2014.