Individual provider · Type 1 NPI

Mackenzie R. Gillett

Counselor · Fayetteville, NY

NPI number 1164932166 Active

Practice location

7000 E Genesee St Ste D
Fayetteville, NY 13066-1131

Mailing address

6494 Colton Rd
La Fayette, NY 13084-9658

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X002399 (NY)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1164932166

Mackenzie R. Gillett's National Provider Identifier is 1164932166, issued on Oct 4, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fayetteville, NY. The record was last updated on Jan 10, 2024.