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Jason Allen Mack, MSWI
Addiction (Substance Use Disorder) Counselor in Carmichael, California
NPI 1982254686

Jason Allen Mack is an Addiction (Substance Use Disorder) Counselor based in Carmichael, CA and is specialized in Addiction (Substance Use Disorder). Jason Allen Mack practices in Carmichael, CA and has the professional credentials of MSWI. The NPI Number for Jason Allen Mack is 1982254686 and holds a License No. (California).

The current practice location address for Jason Allen Mack is 3637 Mission Ave, Carmichael, CA and can be reached out via phone at 916-485-4175.

Location: 3637 Mission Ave, Carmichael, CA, 95608-2946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982254686
Provider Name
Jason Allen Mack
Credential
MSWI
Provider Entity Type
Individual
Gender
Male
Address
3637 Mission Ave, Carmichael, CA, 95608-2946
Phone Number
916-485-4175
Fax Number
Provider Enumeration Date
09/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3637 Mission Ave
City
Carmichael
State
California
Zip
95608-2946
Phone Number
916-485-4175
Fax Number
person
Provider Business Mailing Address Details
Address
3637 Mission Ave
City
Carmichael
State
California
Zip
95608-2946
Phone Number
916-485-4175
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.
5593 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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