Latasha Mack
Latasha Mack is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
8026 Lorraine Ave Ste 201Stockton, CA 95210-4224
Phone: (209) 644-6328
Fax: (209) 644-6308
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1033385711 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 2, 2008 |
| Last updated in NPPES | May 2, 2008 |
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