Search › California › 103TC0700X
Kevin Mack, PSY.D
NPI 1760416903 · on the registry since 2006 · sole proprietor
Practice
- Address
- 23000 Henderson Road
Covelo, CA 95428 - Phone
- (707) 983-6648
- Fax
- (707) 983-6649
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-09
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 California