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

Ashleigh Jane Mack, REGISTEREDINTERN

Individual provider Marriage & Family Therapist · NPI 1285322404

Ashleigh Jane Mack, REGISTEREDINTERN is a Marriage and Family Therapist in Jacksonville, Florida. Qualified in 2022, 4 years ago. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023

Practice location Address checks out

162 Bradford Lake Cir
Jacksonville, FL 32218-0102
Phone: (743) 214-9472
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMT3884 (FL)

Record details

NPI number1285322404
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDINTERN
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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