Jess Mack

NPI #1669801932 in Antlers, Oklahoma

Provider Information

NPI Number: 1669801932
Entity Type: Individual
Name: Jess Mack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 6, 2013
Last Updated: Nov 6, 2013

Practice Location

Address: RR 1 BOX 7180
City: Antlers
State: Oklahoma
ZIP Code: 74523-9743
Phone: (580) 380-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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