Jason Allen Mack, MSWI
Student in an Organized Health Care Education/Training Program in Carmichael, CA. Individual provider (NPI-1).
NPI number1982254686
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1982254686
- Entity type
- Individual (NPI-1)
- Name
- Jason Allen Mack
- Credential
- MSWI
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 5593 | CA |
Practice location
3637 Mission AveCarmichael, CA 95608-2946
Phone 916-485-4175
Mailing address
3637 Mission AveCarmichael, CA 95608-2946
Phone 916-485-4175
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All 37 Student in an Organized Health Care Education/Training Program providers in Carmichael · All 1,816 providers in Carmichael
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