Jesse Tyler Mack is a Clinton, Louisiana based counselor who is specialized as Counselor. Active license number of Jesse Tyler Mack is 6784 for Professional Counselor in Louisiana. His current practice location is 11990 Jackson St, Clinton. Patients can book an appointment with him at 225-683-5292.
Jesse Tyler Mack is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. He works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. He support his clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Jesse Tyler Mack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jesse Tyler Mack
Specialization:
Counselor
Gender:
Male
Credentials:
LPC
Accepts Medicare Assignment:
No
Practice Address:
11990 Jackson St, Clinton, Louisiana, 70722
Phone:
225-683-5292
Fax:
225-683-1310
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417308594
NPI Enumeration Date:
29 Jun, 2016
NPI Last Update On:
31 Oct, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jesse Tyler Mack are as mentioned below.
License Number
Specialization
State
Status
6784
Professional Counselor
Louisiana
Primary
Counselor
Secondary
Case Manager/Care Coordinator
Louisiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jesse Tyler Mack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6784
Other
Louisiana
STATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 395, Clinton, Louisiana
Zip:
70722-0395
Phone Number:
225-683-5292
Fax Number:
225-683-1310
Patients can reach Jesse Tyler Mack at 11990 Jackson St, Clinton, Louisiana or can call to book an appointment on 225-683-5292. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.