Individual provider · Type 1 NPI

Mackenzie G. Wallin, BA

Mental Health Counselor · Anchorage, AK

NPI number 1154973022 Active

Practice location

401 W. International Airport Rd., Suite 17
Anchorage, AK 99518-1168

Fax (907) 562-4503

Other practice locations

  • 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 · (907) 279-9634
  • 4515 Campbell Airstrip Rd, Anchorage, AK 99507-1267 · (907) 279-9640

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154973022

Mackenzie G. Wallin, BA's National Provider Identifier is 1154973022, issued on Jul 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anchorage, AK. The record was last updated on Nov 2, 2023.