Individual
CARLTON MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 CATOCTIN CIR SE FL 2, LEESBURG, VA 20175-3730
(571) 609-5351
Mailing address
20814 CONFIDENCE CT, ASHBURN, VA 20147-3924
(703) 926-9470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
VA
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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