Mack, Cathy

Mack, Cathy is an individual health care provider with primary practice located at 205 S Jt Stites Blvd , Sallisaw OK 74955-9301. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mack, Cathy can be contacted via phone (918) 775-7787.

Contact Information

Primary practice address
205 S Jt Stites Blvd Sallisaw OK 74955-9301
Phone: (918) 775-7787
Fax: (918) 775-3580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3692 Oklahoma

Profile Details

NPI number 1215105556
LBN Legal business name Mack, Cathy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2008
Last updated Feb 14th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215105556 NPPES
Oklahoma MEDICAID 200360410A

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