person
Roberta A Mack, MSCADCIIILPC
Professional Counselor in Lacrosse, Wisconsin
NPI 1558302026

Roberta A Mack is a Professional Counselor based in Lacrosse, WI and is specialized in Professional. Roberta A Mack practices in Lacrosse, WI and has the professional credentials of MSCADCIIILPC. The NPI Number for Roberta A Mack is 1558302026 and holds a License No. 11611 (Wisconsin).

The current practice location address for Roberta A Mack is 212 S 11Th Street, Lacrosse, WI and can be reached out via phone at 608-791-9555 and via fax at 608-791-9432.

Location: 212 S 11Th Street, Lacrosse, WI, 54601
person
Provider Profile Details
NPI Number
1558302026
Provider Name
Roberta A Mack
Credential
MSCADCIIILPC
Provider Entity Type
Individual
Gender
Female
Address
212 S 11Th Street, Lacrosse, WI, 54601
Phone Number
608-791-9555
Fax Number
608-791-9432
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39715500 05 WI
institution
Provider Business Practice Location Address Details
Address
212 S 11Th Street
City
State
Zip
54601
Phone Number
608-791-9555
Fax Number
608-791-9432
person
Provider Business Mailing Address Details
Address
212 S 11Th Street
City
State
Zip
54601
Phone Number
608-791-9555
Fax Number
608-791-9432
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3598 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
11611 (Wisconsin)
Definition
Definition to come...
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