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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093302176

Donyale Mack is an Addiction (Substance Use Disorder) Counselor in Lemon Grove, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2049 Skyline Dr
Lemon Grove, CA 91945-4221
Phone: (619) 465-7303
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1093302176
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2020
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651

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