Individual provider · Type 1 NPI

Mackenzie Jewell White

Mental Health Counselor · San Diego, CA

NPI number 1154902211 Active

Practice location

545 Laurel St
San Diego, CA 92101-1634

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154902211

Mackenzie Jewell White's National Provider Identifier is 1154902211, issued on Apr 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Sep 28, 2022.