MICHAEL ANTHONY MACK

BAKERSFIELD, CA
NPI1902356710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RADT-1 1234200716)
Enumeration Date2016-10-05
Last Update Date2016-10-05
Business Address
-- MICHAEL ANTHONY MACK RADT-1
600 BERNARD ST
BAKERSFIELD, CA 93305-3020
Phone number: 661-325-1817
Mailing Address
-- MICHAEL ANTHONY MACK RADT-1
PO BOX 3218
BAKERSFIELD, CA 93385-3218
Phone number: 661-325-1817
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