Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Mack

Individual provider Counselor · NPI 1902249691

Andrea Mack is a Counselor in San Diego, California. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

2535 Kettner Blvd 1A4
San Diego, CA 92101-1250
Phone: (619) 615-0701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1902249691
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023

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