Organization
MACK'S EMPOWERMENT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORESAIR ANTON MACK MS.ED, LCPC, NCC (OWNER/CLINICIAN)
(224) 407-5019
Entity
Organization
Contact information
Practice address
164 DIVISION ST STE 716, ELGIN, IL 60120-5534
(224) 407-5019
Mailing address
220 E HILLCREST DR APT 4210, DEKALB, IL 60115-2452
(847) 421-4613
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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