Individual
ELLA G MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
17542 WISDOM DR, BAKER, LA 70714-1528
(225) 933-3184
Mailing address
17542 WISDOM DR, BAKER, LA 70714-1528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3855
LA
101YP2500X
Professional Counselor
3855
LA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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