| NPI | 1043434194 |
|---|---|
| Other Name | JIM MACKEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0002991) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 2991) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2018-03-20 |