Desmond Mack
Desmond Mack is a Professional Counselor in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
20411 W 12 Mile Rd Ste 104Southfield, MI 48076-6404
Phone: (248) 617-7545
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 640108797 |
|---|
Record details
| NPI number | 1053058800 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2022 |
| Last updated in NPPES | May 13, 2022 |
| Certification date | May 13, 2022 |
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