Individual provider · Type 1 NPI

Mackenzie Collen Restucci

Mental Health Counselor · Portland, OR

NPI number 1376261263 Active

Practice location

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Other practice locations

  • 1320 Louisiana Ave, St. Cloud, FL 34769-4116 · (407) 593-0122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XIMH23339 (FL)
Mental Health Counselor Primary 101YM0800XR12486 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1376261263

Mackenzie Collen Restucci's National Provider Identifier is 1376261263, issued on Aug 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 10, 2026.