Individual provider · Type 1 NPI

Audrey Mack

Professional Counselor · Martinez, GA

NPI number 1871913087 Active

Practice location

3711 Executive Center Dr, Suite 202 Office #3
Martinez, GA 30907-0951

Mailing address

3490 Bullock Ave
Augusta, GA 30906-4615

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006746 (GA)

Professional Counselor: Definition to come...

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About NPI 1871913087

Audrey Mack's National Provider Identifier is 1871913087, issued on Apr 27, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Martinez, GA. The record was last updated on Apr 27, 2014.