Michael Mack

NPI #1114333796 in Boulder, Colorado

Provider Information

NPI Number
1114333796
Entity Type
Individual
Name
Michael Mack
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jul 3, 2014
Last Updated
Jul 3, 2014

Practice Location

Address
3450 BROADWAY ST
ZIP Code
80304-1824
Phone
(303) 441-1100

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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