Individual provider · Type 1 NPI

Connie Kay Mackenzie, LCSW

Mental Health Counselor · San Jose, CA

NPI number 1124427901 Active

Practice location

440 Mill Pond Dr
San Jose, CA 95125-1406

Call (408) 499-5469 Map

Mailing address

PO Box 734
Los Gatos, CA 95031-0734

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW 61797 (CA)
Clinical Social Worker 1041C0700XLCSW 61797

Mental Health Counselor: Definition to come...

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About NPI 1124427901

Connie Kay Mackenzie, LCSW's National Provider Identifier is 1124427901, issued on Aug 18, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Aug 18, 2014.