Individual provider · Type 1 NPI

Mackenzie Gangl, LICSW

Mental Health Counselor · Brainerd, MN

NPI number 1346517786 Active

Practice location

823 Maple St
Brainerd, MN 56401-3770

Call (320) 584-4121 Map

Mailing address

PO Box 9859
Fargo, ND 58106-9859

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800X16191 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1346517786

Mackenzie Gangl, LICSW's National Provider Identifier is 1346517786, issued on Nov 30, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brainerd, MN. The record was last updated on Oct 20, 2022.