Individual provider · Type 1 NPI

Kelly Lynn Mace

Counselor · Santa Rosa, CA

NPI number 1609192491 Active

Practice location

3440 Airway Dr, Suite E
Santa Rosa, CA 95403-2065

Call (707) 544-3299 Map

Fax (707) 544-6837

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1609192491

Kelly Lynn Mace's National Provider Identifier is 1609192491, issued on Apr 19, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 19, 2010.