Mackenzie Van is a Peer Specialist based in Palm Desert, CA. Mackenzie Van practices in Indio, CA. The NPI Number for Mackenzie Van is 1033971593 and holds a License No. (California).
The current practice location address for Mackenzie Van is 47915 Oasis St, Indio, CA and can be reached out via phone at 760-863-8650.
Location: 47915 Oasis St, Indio, CA, 92255-3084
Provider Profile Details
NPI Number
1033971593
Provider Name
Mackenzie Van
Credential
Provider Entity Type
Individual
Gender
Female
Address
47915 Oasis St, Indio, CA, 92255-3084
Phone Number
760-863-8650
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
47915 Oasis St
City
State
Zip
92201-6950
Phone Number
760-863-8650
Fax Number
Provider Business Mailing Address Details
Address
47915 Oasis St
City
State
Zip
92201-6950
Phone Number
760-863-8650
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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