Individual provider · Type 1 NPI

Kylie Mackenzie

Mental Health Counselor · Lake Forest, CA

NPI number 1003217993 Active

Practice location

22471 Aspan St Ste 103
Lake Forest, CA 92630-1644

Mailing address

2026 W Beacon Ave
Anaheim, CA 92804-4406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003217993

Kylie Mackenzie's National Provider Identifier is 1003217993, issued on Sep 10, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Forest, CA. The record was last updated on Dec 27, 2021.