Individual
JEWEL S MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3813 QUIET CREEK CIR, CHARLOTTE, NC 28213-2175
(980) 349-6451
Mailing address
3813 QUIET CREEK CIR, CHARLOTTE, NC 28213-2175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21969
NC
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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