Sarah Gordon Mack
Counselor in Durham, NC. Individual provider (NPI-1).
NPI number1487974366
StatusActive
Last updated in NPPESJun 2, 2010
Details
- NPI
- 1487974366
- Entity type
- Individual (NPI-1)
- Name
- Sarah Gordon Mack
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2010
- Last updated
- Jun 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 7239 | NC | Yes |
Practice location
45 Willow Bridge DrDurham, NC 27707-5457
Phone 919-403-3536
Mailing address
45 Willow Bridge DrDurham, NC 27707-5457
Phone 919-403-3536
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