Individual
CEDRIC L MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6889 S EASTERN AVENUE,, LAS VEGAS, NV 89119
(702) 434-1200
Mailing address
6666 W WASHINGTON AVE, SUITE 493, LAS VEGAS, NV 89107-1349
(404) 981-3563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/19/2013
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