Individual provider · Type 1 NPI
Jess Mack
Professional Counselor · Antlers, OK
NPI number
1669801932
Active
Practice location
RR 1 Box 7180
Antlers, OK 74523-9743
Mailing address
PO Box 265
Antlers, OK 74523-0265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1669801932
Jess Mack's National Provider Identifier is 1669801932, issued on Nov 6, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Antlers, OK. The record was last updated on Nov 6, 2013.