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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL MACK

Active Sole Proprietor

MICHAEL MACK is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BOULDER, Colorado. NPI 1114333796 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · BOULDER, CO

Registration Details

NPI Number
1114333796
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2014 (12.098148909998 yrs)
Last Updated
Jul 3, 2014
Sole Proprietor
Yes

Practice Information

Address
3450 BROADWAY ST
BOULDER, CO, 803041824
Browse CO providers · Browse ZIP 80304
Phone
3034411100

Other Addiction (Substance Use Disorder) Counselor Providers in BOULDER, CO

Name Credential NPI
MS. NANCY ELLEN KENNEY LPC, CAC II 1225009251
JO RUDER 1548206758
MS. NANCY RUTH GOLDAPER LPC 1316040108
CHERYL ANN BREAULT MA, LPC, CACIII 1568670073
MR. STEVEN RONALD HENNE M.A., L.P.C., L.A.C. 1851501779
PAULA STEPHANI 1306002464
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.