Individual provider · Type 1 NPI

Mackenzie Eldridge

Addiction (Substance Use Disorder) Counselor · Redding, CA

NPI number 1205430592 Active

Practice location

1147 Hartnell Ave
Redding, CA 96002-2113

Mailing address

522 Nord Ave Apt 3
Chico, CA 95926-4766

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1497300223 (CA)

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About NPI 1205430592

Mackenzie Eldridge's National Provider Identifier is 1205430592, issued on Nov 26, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redding, CA. The record was last updated on Feb 15, 2023.