Individual
DR. CAROL MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
454 N. CLAUDE A. LORD BLVD., POTTSVILLE, PA 17901-2706
(570) 622-1025
(570) 628-4344
Mailing address
454 N. CLAUDE A. LORD BLVD., POTTSVILLE, PA 17901-2706
(570) 622-1025
(570) 628-4344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC003007
PA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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