Donnaline Mack, LPC

NPI #1770399784 in Vidalia, Georgia

Provider Information

NPI Number: 1770399784
Entity Type: Individual
Name: Donnaline Mack, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Dec 4, 2024
Last Updated: Dec 4, 2024

Practice Location

Address: 204 DURDEN ST
City: Vidalia
State: Georgia
ZIP Code: 30474-4608
Phone: (912) 432-3420

Specialties & Taxonomy Codes

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

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