Individual provider · Type 1 NPI
Keith John Mackie, LPC, CADCI
Professional Counselor · Portland, OR
NPI number
1275867749
Active
Practice location
1134 NE 70th Ave
Portland, OR 97213-5420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07-09-29 (OR) |
| Counseling Psychologist | 103TC1900X | C2348 (OR) |
| Professional Counselor Primary | 101YP2500X | C2348 (OR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1275867749
Keith John Mackie, LPC, CADCI's National Provider Identifier is 1275867749, issued on Sep 30, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Feb 8, 2022.