MARY COLLEEN MACK

DECATUR, IL
NPI1851682181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180007722)
Enumeration Date2011-04-20
Last Update Date2011-04-20
Business Address
Miss MARY COLLEEN MACK LCPC
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Mailing Address
Miss MARY COLLEEN MACK LCPC
PO BOX 710
DECATUR, IL 62525-0710
Phone number: 217-362-6262