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

MRS. DESRA MACK, LPC

Active

MRS. DESRA MACK, LPC is a Professional Counselor healthcare provider located in ELIZABETH CITY, North Carolina. NPI 1588761530 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · ELIZABETH CITY, NC

Registration Details

NPI Number
1588761530
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2006 (19.876430920979 yrs)
Last Updated
Mar 1, 2011
License
5415 (NC)

Practice Information

Address
1141 N ROAD ST
SUITE L
ELIZABETH CITY, NC, 279093354
Browse NC providers · Browse ZIP 27909
Phone
2523350803
Fax
2523311796
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in ELIZABETH CITY, NC

Name Credential NPI
PATRICIA READING MSED, NCC, LPC, LCAS 1134178221
MR. CARL HATHAWAY HANBURY LPC 1679672166
MRS. /DEBORAH BURNETT SPENCE MA, LPC 1265523468
MS. HOLLY WILSON NCC, LPC 1366591869
MRS. WENDI DAWN NIXON NCC, LPC 1013190057
TINA K PHARR LPC 1548498900
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.