Individual provider · Type 1 NPI
Jadea E. Mack
Addiction (Substance Use Disorder) Counselor · Lake City, SC
NPI number
1194631945
Active
Practice location
111 N Matthews Rd
Lake City, SC 29560-2309
Mailing address
613 Chestnut St
Darlington, SC 29532-5105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Lake City
About NPI 1194631945
Jadea E. Mack's National Provider Identifier is 1194631945, issued on Aug 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake City, SC. The record was last updated on Aug 21, 2026.