Individual provider · Type 1 NPI

Angela Polite Mack

Mental Health Counselor · Yemassee, SC

NPI number 1639726532 Active

Practice location

1109 White Hall Rd
Yemassee, SC 29945-5319

Mailing address

5631 Spring Valley Rd # 149-2
Dallas, TX 75254-3169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X007003996 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1639726532

Angela Polite Mack's National Provider Identifier is 1639726532, issued on Aug 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yemassee, SC. The record was last updated on Aug 25, 2019.