Individual provider · Type 1 NPI

Regina Mack

Mental Health Counselor · Palmdale, CA

NPI number 1699963579 Active

Practice location

1529 E Palmdale Blvd, #150
Palmdale, CA 93550-2034

Fax (661) 537-2975

Mailing address

45465 25th St E, #296
Lancaster, CA 93535-2381

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699963579

Regina Mack's National Provider Identifier is 1699963579, issued on Oct 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palmdale, CA. The record was last updated on Oct 4, 2007.