Individual
MR. JASON MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(330) 869-8263
Mailing address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(330) 869-8263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.186789
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
OH
175T00000X
Peer Specialist
APS.003667
OH
Other
Enumeration date
05/11/2022
Last updated
01/04/2024
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