Individual provider · Type 1 NPI
John David Pack, MS, LPC, LCDC
Mental Health Counselor · Amarillo, TX
NPI number
1376398271
Active
Practice location
5700 Enterprise Cir Ste 113
Amarillo, TX 79106-4634
Mailing address
2700 W 16th Ave Apt 107
Amarillo, TX 79102-2245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15849 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 85025 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1376398271
John David Pack, MS, LPC, LCDC's National Provider Identifier is 1376398271, issued on Apr 23, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Amarillo, TX. The record was last updated on Apr 23, 2024.