Carlton Mack

NPI 1013800101 · on the registry since 2025 · sole proprietor

Practice

Address: 222 Catoctin Cir Se Fl 2
Leesburg, VA 20175
Phone: (571) 609-5351
Organisation at this address: Bloom Counseling
Mike Vazzana Lpc Llc
Northern Lights Psychotherapy
Holistic Health And Nutrition, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia