Individual provider · Type 1 NPI

Jason Allen Mack, MSWI

Student in an Organized Health Care Education/Training Program · Carmichael, CA

NPI number 1982254686 Active

Practice location

3637 Mission Ave
Carmichael, CA 95608-2946

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X5593 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982254686

Jason Allen Mack, MSWI's National Provider Identifier is 1982254686, issued on Sep 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Carmichael, CA. The record was last updated on Oct 9, 2019.