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Individual
E'LON MACK
Active
Individual
E'LON MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61661558
WA
101YM0800X
Mental Health Counselor
Primary
MHC.LH.70119822
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/15/2020
Last updated
09/03/2026
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