Individual provider · Type 1 NPI

Tabethah Mack

Mental Health Counselor · New York, NY

NPI number 1225425937 Active

Practice location

2090 Adam Clayton Powell Jr Blvd Fl 7
New York, NY 10027-4990

Call (646) 656-1771 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225425937

Tabethah Mack's National Provider Identifier is 1225425937, issued on Apr 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on May 22, 2015.