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Mr. John Robert Mack, MA,C-QMHP
Mental Health Counselor in Grants Pass, Oregon
NPI 1891875993

John Robert Mack is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. John Robert Mack practices in Grants Pass, OR and has the professional credentials of MA,C-QMHP. The NPI Number for John Robert Mack is 1891875993 and holds a License No. (Oregon).

The current practice location address for John Robert Mack is 1215 Sw G St, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 1215 Sw G St, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891875993
Provider Name
John Robert Mack
Credential
MA,C-QMHP
Provider Entity Type
Individual
Gender
Male
Address
1215 Sw G St, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891875993 05 OR
institution
Provider Business Practice Location Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Sw G St
City
Grants Pass
State
Oregon
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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