Individual
JANEEN D MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190097
OH
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/28/2018
Last updated
05/13/2025
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