Individual provider · Type 1 NPI

Mackenzie M. Stocum, MS

Mental Health Counselor · Philadelphia, PA

NPI number 1215667167 Active

Practice location

1736 Waterloo St # B
Philadelphia, PA 19122-3217

Call (570) 772-7180 Map

Mailing address

1736 Waterloo St Apt B
Philadelphia, PA 19122-3217

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1215667167

Mackenzie M. Stocum, MS's National Provider Identifier is 1215667167, issued on Jun 14, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 14, 2022.