Individual provider · Type 1 NPI

Mackenzie Clark

Mental Health Counselor · Gilbert, AZ

NPI number 1740179209 Active

Practice location

1206 E Warner Rd Ste 115
Gilbert, AZ 85296-3133

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-23593 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1740179209

Mackenzie Clark's National Provider Identifier is 1740179209, issued on Jun 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gilbert, AZ. The record was last updated on Jun 30, 2025.