Individual provider · Type 1 NPI
Brian Mackenzie
Professional Counselor · Tyler, TX
NPI number
1295603397
Active
Practice location
3367 Cascades Blvd Apt 128
Tyler, TX 75709-5448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 22440 (CO) |
| Professional Counselor Primary | 101YP2500X | 86686 (TX) |
Professional Counselor: Definition to come...
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About NPI 1295603397
Brian Mackenzie's National Provider Identifier is 1295603397, issued on Oct 29, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Oct 29, 2025.