Individual
MR. JOSEPH E MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACII
Contact information
Practice address
601 GREGG AVENUE, CIRCLE PARK BEHAVIORAL HEALTH SERVICES, FLORENCE, SC 29502-6196
(843) 665-9349
(843) 669-6122
Mailing address
123 E SAM HARRELL RD, FLORENCE, SC 29506
(843) 667-6839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0601161
SC
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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