Individual provider · Type 1 NPI

Shirley Ann Mack, PhD, LPC

Mental Health Counselor · Clinton Township, MI

NPI number 1790991990 Active

Practice location

15501 Metropolitan Pkwy, Suite 107
Clinton Township, MI 48036-1684

Call (586) 263-3880 Map

Mailing address

20466 Fleetwood Dr
Harper Woods, MI 48225-1624

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401005017 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1790991990

Shirley Ann Mack, PhD, LPC's National Provider Identifier is 1790991990, issued on May 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clinton Township, MI. The record was last updated on Jul 8, 2007.