| Jadea E Mack, | |
|
111 N Matthews Rd, Lake City, SC 29560-2309 | |
| (843) 665-7988 | |
| Not Available |
| Full Name | Jadea E Mack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 111 N Matthews Rd, Lake City, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194631945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jadea E Mack, 613 Chestnut St, Darlington, SC 29532-5105 Ph: Not Available | Jadea E Mack, 111 N Matthews Rd, Lake City, SC 29560-2309 Ph: (843) 665-7988 |
Mr. Norman G. Creighton, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-7600 Fax: 843-661-4892 |
Michelle Moses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-7419 Fax: 843-661-4892 |
Katelyn Hand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 Katelyn Dr, Lake City, SC 29560 Phone: 843-373-9022 |
Vickie Densie Redden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-661-4879 Fax: 843-661-4892 |
T'auna Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-7600 |
Joann Boards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-7419 Fax: 843-661-4892 |
Latoria Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-7600 |