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Anthony Mack
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1497882997

Anthony Mack is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Anthony Mack practices in San Jose, CA. The NPI Number for Anthony Mack is 1497882997 and holds a License No. (California).

The current practice location address for Anthony Mack is 90 Great Oaks Blvd, San Jose, CA and can be reached out via phone at 408-281-0708.

Location: 90 Great Oaks Blvd, San Jose, CA, 95119-1314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497882997
Provider Name
Anthony Mack
Credential
Provider Entity Type
Individual
Gender
Male
Address
90 Great Oaks Blvd, San Jose, CA, 95119-1314
Phone Number
408-281-0708
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
90 Great Oaks Blvd
City
San Jose
State
California
Zip
95119-1314
Phone Number
408-281-0708
Fax Number
person
Provider Business Mailing Address Details
Address
90 Great Oaks Blvd
City
San Jose
State
California
Zip
95119-1314
Phone Number
408-281-0708
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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