Individual provider · Type 1 NPI

Mackenna Lillis Page, MA

Professional Counselor · St. Paul, MN

NPI number 1114876034 Active

Practice location

2230 Como Ave
St. Paul, MN 55108-1720

Call (888) 364-5977 Map

Mailing address

1295 Bandana Blvd N Ste 210
St. Paul, MN 55108-5115

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1114876034

Mackenna Lillis Page, MA's National Provider Identifier is 1114876034, issued on Jan 23, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on Jan 23, 2026.