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

MRS. JENNA A MACK, M.ED, LPC

Active Sole Proprietor

MRS. JENNA A MACK, M.ED, LPC is a Mental Health Counselor healthcare provider located in SOUTHLAKE, Texas. NPI 1417208612 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · SOUTHLAKE, TX

Registration Details

NPI Number
1417208612
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2012 (13.836041515978 yrs)
Last Updated
Oct 15, 2015
License
66288 (TX)
Sole Proprietor
Yes

Practice Information

Address
1207 S WHITE CHAPEL BLVD STE 105
SOUTHLAKE, TX, 760929315
Browse TX providers · Browse ZIP 76092
Phone
2148103756
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SOUTHLAKE, TX

Name Credential NPI
DR. STEPHANIE C THURSTON PHD, LPC-S, LSOTP 1194733550
DENA MARIE HART L.P.C. 1720269368
MS. TRACY E. CRAIN LPC-S, LCDC 1740444926
MRS. STACEY CARTLIDGE M.ED., LPC 1184926453
DR. JANINE LAGON PHD, LPC 1235410945
MRS. CHELSEA BICE LPC 1811443930
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.