Individual
MRS. ALLISON MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2138 BROADWAY ST, PADUCAH, KY 42001-7110
(270) 449-1601
(270) 220-0594
Mailing address
5910 OAKWOOD LN, PADUCAH, KY 42003-9273
(270) 705-2779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
281994
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100876200
—
KY
Enumeration date
12/01/2016
Last updated
03/08/2024
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