person
Coresair Anton Mack
Professional Counselor in Dekalb, Illinois
NPI 1336696582

Coresair Anton Mack is a Professional Counselor based in Dekalb, IL and is specialized in Professional. Coresair Anton Mack practices in Dekalb, IL. The NPI Number for Coresair Anton Mack is 1336696582 and holds a License No. (Illinois).

The current practice location address for Coresair Anton Mack is 220 E Hillcrest Dr Apt 4210, Dekalb, IL and can be reached out via phone at 847-421-4613.

Location: 220 E Hillcrest Dr Apt 4210, Dekalb, IL, 60115-2452
person
Provider Profile Details
NPI Number
1336696582
Provider Name
Coresair Anton Mack
Credential
Provider Entity Type
Individual
Gender
Male
Address
220 E Hillcrest Dr Apt 4210, Dekalb, IL, 60115-2452
Phone Number
847-421-4613
Fax Number
Provider Enumeration Date
09/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
220 E Hillcrest Dr Apt 4210
City
State
Zip
60115-2452
Phone Number
847-421-4613
Fax Number
person
Provider Business Mailing Address Details
Address
220 E Hillcrest Dr Apt 4210
City
State
Zip
60115-2452
Phone Number
847-421-4613
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180012529 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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