Individual
CHRISTINA ELIZABETH MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
75 ADELBERT ST, SOUTH PORTLAND, ME 04106-6515
(818) 481-0236
Mailing address
75 ADELBERT ST, SOUTH PORTLAND, ME 04106-6515
(818) 481-0236
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
103641
CA
Other
Enumeration date
02/08/2013
Last updated
02/19/2024
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