Individual provider · Type 1 NPI
Mindy Mack
Mental Health Counselor · Port Clinton, OH
NPI number
1861896953
Active
Practice location
335 Buckeye Blvd
Port Clinton, OH 43452-1423
Fax (419) 734-4922
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C1100298 (OH) |
Mental Health Counselor: Definition to come...
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About NPI 1861896953
Mindy Mack's National Provider Identifier is 1861896953, issued on Oct 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Clinton, OH. The record was last updated on Oct 17, 2014.