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MS. LESLIE RAE MACK LPC MS NCC
NPI 1689766750
Counselor - Professional in Fargo, ND

Active since September 28, 2006
510 4TH ST S, FARGO, ND 58103(701) 476-7200(701) 476-7273 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Leslie Rae Mack Lpc Ms Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LESLIE RAE MACK LPC MS NCC (NPI 1689766750) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (5085104) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1689766750
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LESLIE RAE MACKCredential: LPC MS NCC
Location Address510 4TH ST SFargo, ND 58103
Mailing Address620 Main Ave, 310Fargo, ND 58103 · (701) 371-8411
Phone(701) 476-7200
Fax(701) 476-7273
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689766750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ND · 5085104
510 4TH ST S, Fargo, ND 58103
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIFF ELIZABETH PETERSON
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
ASHLEY BISHOP
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
DR. LAWANA MARIE BURTNETT M.D.
Psychiatry & Neurology (Psychiatry)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
MARYN LYNNA YOUNG FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
CHERYL MELBYE LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7240
MRS. GLENICE M CARLSON PAC
Physician Assistant
510 4TH ST S, PRAIRIE ST JOHNS
FARGO, ND 58103
Cass County (701) 476-7239
CAMIE LYNN PFEIFER LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7876
WILLIAM D BRINK LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Mack's NPI number?

The NPI number for Leslie Mack is 1689766750. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Leslie Mack located?

Leslie Mack practices at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7200.

What is Leslie Mack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Leslie Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.