Individual provider · Type 1 NPI

Mackenzie Van

Peer Specialist · Indio, CA

NPI number 1033971593 Active

Practice location

47915 Oasis St Unit C
Indio, CA 92201-6950

Call (442) 282-4909 Map

Mailing address

PO Box 13084
Palm Desert, CA 92255-3084

Other practice locations

  • 47915 Oasis St, Indio, CA 92201-6950 · (760) 863-8650

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

12 other providers at this address

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About NPI 1033971593

Mackenzie Van's National Provider Identifier is 1033971593, issued on Jan 29, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Indio, CA. The record was last updated on Sep 2, 2025.