Frederick Ruel Mack
Frederick Ruel Mack is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
4445 Burns AveLos Angeles, CA 90029-2702
Phone: (323) 664-8969
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1558994418 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 19, 2020 |
| Last updated in NPPES | February 19, 2020 |
| Certification date | February 19, 2020 |
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