Kylie Mackenzie
Mental Health Counselor
22471 Aspan St Ste 103
Lake Forest
, California 92630-1644
Kylie Mackenzie
Mental Health Counselor
22471 Aspan St Ste 103
Lake Forest
, California 92630-1644
(657) 276-7030
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Kylie Mackenzie
- 2026 W Beacon Ave
- Anaheim, CA
- Zip : 92804-4406
- Phone : (657) 276-7030
Second Address
- Kylie Mackenzie
- 22471 Aspan St Ste 103
- Lake Forest, CA
- Zip : 92630-1644
- Phone : (949) 458-2715
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | CA |
National Provider Identifier
| NPI | 1003217993 |
|---|---|
| Provider Name | Kylie Mackenzie |
| First Address | Anaheim, CA 92804-4406 |
| Second Address | Lake Forest, CA 92630-1644 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2014 |
| Last Update Date | 27/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.