Individual provider · Type 1 NPI

Dominique Michelle Mangano Mack, LAC

Mental Health Counselor · Goodyear, AZ

NPI number 1639925191 Active

Practice location

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713

Call (480) 964-2273 Map

Mailing address

19819 W Marshall Ave
Litchfield Park, AZ 85340-5426

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-22735 (AZ)

Mental Health Counselor: Definition to come...

58 other providers at this address

Other mental health counselor providers in Goodyear

See all in Goodyear →

About NPI 1639925191

Dominique Michelle Mangano Mack, LAC's National Provider Identifier is 1639925191, issued on Apr 25, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goodyear, AZ. The record was last updated on May 1, 2024.