Individual provider · Type 1 NPI

Russell P. Mackay

Mental Health Counselor · Boston, MA

NPI number 1790877090 Active

Practice location

434 Massachusetts Ave Ste 501
Boston, MA 02118-3522

Call (339) 666-8516 Map

Fax (617) 807-0958

Mailing address

1003 Eastgate Dr
Provo, UT 84606-5601

Other practice locations

  • 1003 Eastgate Dr, Provo, UT 84606-5601 · (801) 380-3914

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMHC10002806 (MA)
Mental Health Counselor 101YM0800X5935490-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1790877090

Russell P. Mackay's National Provider Identifier is 1790877090, issued on Sep 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Jun 2, 2025.