Individual provider · Type 1 NPI

Kevinnisha Mack

Mental Health Counselor · New Orleans, LA

NPI number 1124554902 Active

Practice location

7240 Crowder Blvd, Suite 202
New Orleans, LA 70127-1922

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124554902

Kevinnisha Mack's National Provider Identifier is 1124554902, issued on May 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Orleans, LA. The record was last updated on May 11, 2017.