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Mack McCraney Jr.

Counselor, Mental Health in Hammond, LA. Individual provider (NPI-1).

NPI number1376901736
StatusActive
Last updated in NPPESFeb 1, 2016

Details

NPI
1376901736
Entity type
Individual (NPI-1)
Name
Mack McCraney Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 1, 2016
Last updated
Feb 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

45437 Shadowood Drive
Hammond, LA 70401

Phone 985-507-1302

Mailing address

45437 Shadowood Dr
Hammond, LA 70401

Phone 985-507-1302

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