Individual provider · Type 1 NPI
Jewel S. Mack
Mental Health Counselor · Charlotte, NC
NPI number
1336015502
Active
Practice location
3813 Quiet Creek Cir
Charlotte, NC 28213-2175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A21969 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1336015502
Jewel S. Mack's National Provider Identifier is 1336015502, issued on Oct 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Oct 15, 2025.