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Jesse Tyler Mack, LPC
Professional Counselor in Clinton, Louisiana
NPI 1417308594

Jesse Tyler Mack is a Professional Counselor based in Clinton, LA and is specialized in Professional. Jesse Tyler Mack practices in Clinton, LA and has the professional credentials of LPC. The NPI Number for Jesse Tyler Mack is 1417308594 and holds a License No. (Louisiana).

The current practice location address for Jesse Tyler Mack is 11990 Jackson St, Clinton, LA and can be reached out via phone at 225-683-5292 and via fax at 225-683-1310.

Location: 11990 Jackson St, Clinton, LA, 70722-0395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417308594
Provider Name
Jesse Tyler Mack
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
11990 Jackson St, Clinton, LA, 70722-0395
Phone Number
225-683-5292
Fax Number
225-683-1310
Provider Enumeration Date
06/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6784 01 LA STATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS
institution
Provider Business Practice Location Address Details
Address
11990 Jackson St
City
Clinton
State
Louisiana
Zip
70722
Phone Number
225-683-5292
Fax Number
225-683-1310
person
Provider Business Mailing Address Details
Address
11990 Jackson St
City
Clinton
State
Louisiana
Zip
70722
Phone Number
225-683-5292
Fax Number
225-683-1310
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6784 (Louisiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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