Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE TYLER MACK, LPC
ActiveJESSE TYLER MACK, LPC is a Professional Counselor healthcare provider located in CLINTON, Louisiana. NPI 1417308594 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CLINTON, LA
Registration Details
- NPI Number
- 1417308594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2016 (9.944872216697 yrs)
- Last Updated
- Oct 31, 2019
- License
-
6784 (LA)
Practice Information
- Address
-
11990 JACKSON STCLINTON, LA, 70722Browse LA providers · Browse ZIP 70722
- Phone
- 2256835292
- Fax
- 2256831310
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Case Manager
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in CLINTON, LA
| Name | Credential | NPI |
|---|---|---|
| MELISSA JONES RIVET | LPC | 1487830923 |
| MIRANDA BROWN | LPC | 1962824920 |
| MRS. SHANTELE ANGELA BUTLER | LPC-S | 1033588892 |
| MRS. RIKKI HUDSON PERMENTER | PH.D., LPC-S,LMFT | 1407225352 |
| ASTRIA DETTE FRANKLIN | LPC | 1275086001 |
| KELSEY B HOOPES | LPC | 1144716028 |
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.