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Kylie Mackenzie
Mental Health Counselor in Lake Forest, California
NPI 1003217993

Kylie Mackenzie is a Mental Health Counselor based in Anaheim, CA and is specialized in Mental Health. Kylie Mackenzie practices in Lake Forest, CA. The NPI Number for Kylie Mackenzie is 1003217993 and holds a License No. (California).

The current practice location address for Kylie Mackenzie is 22471 Aspan St Ste 103, Lake Forest, CA and can be reached out via phone at 949-458-2715.

Location: 22471 Aspan St Ste 103, Lake Forest, CA, 92804-4406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003217993
Provider Name
Kylie Mackenzie
Credential
Provider Entity Type
Individual
Gender
Female
Address
22471 Aspan St Ste 103, Lake Forest, CA, 92804-4406
Phone Number
949-458-2715
Fax Number
Provider Enumeration Date
09/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22471 Aspan St Ste 103
City
Lake Forest
State
California
Zip
92630-1644
Phone Number
949-458-2715
Fax Number
person
Provider Business Mailing Address Details
Address
22471 Aspan St Ste 103
City
Lake Forest
State
California
Zip
92630-1644
Phone Number
949-458-2715
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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