MR. Jack Gerhardt Mcmackin
NPI #1073497780 in Laguna Hills, California
Provider Information
- NPI Number
- 1073497780
- Entity Type
- Individual
- Name
- MR. Jack Gerhardt Mcmackin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 5, 2025
- Last Updated
- Aug 5, 2025
Practice Location
- Address
- 24953 PASEO DE VALENCIA BLDG B, STE 1B
- City
- Laguna Hills
- State
- California
- ZIP Code
- 92653
- Phone
- (949) 540-0170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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