Individual
ASHLEIGH JANE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED INTERN
Contact information
Practice address
162 BRADFORD LAKE CIR, JACKSONVILLE, FL 32218-0102
(743) 214-9472
Mailing address
227 W MOREHEAD ST, REIDSVILLE, NC 27320-3872
(336) 908-3927
(336) 860-1648
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3884
FL
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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