Individual provider · Type 1 NPI

Mackenzie Kaylen Theis, MSW

Student in an Organized Health Care Education/Training Program · Nevada City, CA

NPI number 1457898041 Active

Practice location

24077 State Highway 49
Nevada City, CA 95959-8519

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457898041

Mackenzie Kaylen Theis, MSW's National Provider Identifier is 1457898041, issued on Jan 20, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nevada City, CA. The record was last updated on Aug 23, 2023.