Individual provider · Type 1 NPI
Kevyn Mac
Professional Counselor · San Jose, CA
NPI number
1376384891
Active
Practice location
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Fax (408) 579-6143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | APCC21139 (CA) |
| Rehabilitation Practitioner | 225400000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1376384891
Kevyn Mac's National Provider Identifier is 1376384891, issued on Jun 6, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Jose, CA. The record was last updated on Nov 4, 2025.