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Individual
JOHN WILLIAM MACK
Active
Individual
JOHN WILLIAM MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, CDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60142038
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 00002940
WA
101YM0800X
Mental Health Counselor
CG60142038
WA
Other
Enumeration date
12/14/2006
Last updated
08/19/2026
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