Organization
FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MACK (EXECUTIVE DIRECTOR)
(478) 745-2811
Entity
Organization
Contact information
Practice address
277 MLK BLVD STE 203, MACON, GA 31201-3498
(478) 745-2811
Mailing address
277 MLK BLVD STE 203, MACON, GA 31201-3498
(478) 745-2811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006007
GA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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