Individual provider · Type 1 NPI

Tracey Mack

Professional Counselor · Glen Burnie, MD

NPI number 1245756121 Active

Practice location

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086

Call (410) 766-6624 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLC8066 (MD)
Professional Counselor Primary 101YP2500XLC8066 (MD)

Professional Counselor: Definition to come...

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About NPI 1245756121

Tracey Mack's National Provider Identifier is 1245756121, issued on Aug 22, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 21, 2022.