| Richard N. Mack | |
|
2 South St Ste 210 Auburn NY 13021-6174 | |
| (315) 282-7076 | |
| Not Available |
| Full Name | Richard N. Mack |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2 South St Ste 210, Auburn, New York |
| Authorized Official Name and Position | Richard Newell Mack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3152827076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard N. Mack 2 South St Ste 210 Auburn NY 13021-6174 Ph: (315) 282-7076 | Richard N. Mack 2 South St Ste 210 Auburn NY 13021-6174 Ph: (315) 282-7076 |
| NPI Number | 1689942625 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689942625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000906 (New York) | Primary |
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