Organization
D. MACK CONSULTING LLC
Active
Other names
D. Mack Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRIEN DENARD MACK RBT-20-117604 (REGISTERED BEHAVIOR TECHNICIAN)
(850) 774-5832
Entity
Organization
Contact information
Practice address
1614 LINCOLN AVE, PANAMA CITY, FL 32405-3148
(850) 774-5832
Mailing address
1614 LINCOLN AVE, PANAMA CITY, FL 32405-3148
(850) 774-5832
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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