Individual provider · Type 1 NPI

Madison Mackenzie, PSYD

Mental Health Counselor · Palo Alto, CA

NPI number 1083083091 Active

Practice location

3801 Miranda Ave
Palo Alto, CA 94304-1207

Other practice locations

  • 2450 S Vine St, Denver, CO 80210-5264 · (303) 871-3626

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083083091

Madison Mackenzie, PSYD's National Provider Identifier is 1083083091, issued on Sep 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palo Alto, CA. The record was last updated on Dec 16, 2022.