Search › Louisiana › 101YP2500X
Jesse Mack, LPC
NPI 1417308594 · on the registry since 2016
Practice
- Address
- 11990 Jackson St
Clinton, LA 70722 - Phone
- (225) 683-5292
- Fax
- (225) 683-1310
- Organisation at this address
- Primary Care Providers For A Healthy Feliciana Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 107
Additional practice sites
- 30826 Linder Rd, Denham Springs, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-31
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 Louisiana