Individual provider · Type 1 NPI

E'lon Mack

Mental Health Counselor · Vancouver, WA

NPI number 1124658356 Active

Practice location

1498 SE Tech Center Pl Ste 300
Vancouver, WA 98683-5509

Mailing address

5500 NE 89th Ave
Vancouver, WA 98662-6057

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XMHC.LH.70119822 (WA)
Counselor 101Y00000XMC61661558 (WA)

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About NPI 1124658356

E'lon Mack's National Provider Identifier is 1124658356, issued on Jan 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Sep 3, 2026.