Individual provider · Type 1 NPI
Anthony Mack
Addiction (Substance Use Disorder) Counselor · San Jose, CA
NPI number
1497882997
Active
Practice location
90 Great Oaks Blvd, 108
San Jose, CA 95119-1314
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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About NPI 1497882997
Anthony Mack's National Provider Identifier is 1497882997, issued on Feb 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.