Individual provider · Type 1 NPI
Mackenzie Moak
School Counselor · Davis, CA
NPI number
1790656304
Active
Practice location
1600 Birch Ln
Davis, CA 95618-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor Primary | 101YS0200X | 250140594 (CA) |
School Counselor: Definition to come...
Another provider at this address
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About NPI 1790656304
Mackenzie Moak's National Provider Identifier is 1790656304, issued on Sep 16, 2025. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Davis, CA. The record was last updated on Sep 16, 2025.