Individual provider · Type 1 NPI

Michelle Mack

Counselor · Brockton, MA

NPI number 1124300173 Active

Practice location

26 Spring St
Brockton, MA 02301-8402

Fax (508) 894-8545

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1124300173

Michelle Mack's National Provider Identifier is 1124300173, issued on Sep 15, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Brockton, MA. The record was last updated on Sep 15, 2011.