location
search-icon
person
Desmond Mack
Professional Counselor in Southfield, Michigan
NPI 1053058800

Desmond Mack is a Professional Counselor based in Southfield, MI and is specialized in Professional. Desmond Mack practices in Southfield, MI. The NPI Number for Desmond Mack is 1053058800 and holds a License No. 640108797 (Michigan).

The current practice location address for Desmond Mack is 20411 W 12 Mile Rd Ste 104, Southfield, MI and can be reached out via phone at 248-617-7545.

Location: 20411 W 12 Mile Rd Ste 104, Southfield, MI, 48076-6404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053058800
Provider Name
Desmond Mack
Credential
Provider Entity Type
Individual
Gender
Male
Address
20411 W 12 Mile Rd Ste 104, Southfield, MI, 48076-6404
Phone Number
248-617-7545
Fax Number
Provider Enumeration Date
05/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20411 W 12 Mile Rd Ste 104
City
Southfield
State
Michigan
Zip
48076-6404
Phone Number
248-617-7545
Fax Number
person
Provider Business Mailing Address Details
Address
20411 W 12 Mile Rd Ste 104
City
Southfield
State
Michigan
Zip
48076-6404
Phone Number
248-617-7545
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
640108797 ()
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.