MRS. MACKENZIE SUSANN YOUNG
NPI 1205424058
Counselor - Mental Health in Keizer, OR
Active since January 07, 2021
About Mrs. Mackenzie Susann Young NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MACKENZIE SUSANN YOUNG (NPI 1205424058) is an individual mental health provider in Keizer, Oregon and active in the NPI registry since January 2021.
NPPES Registry Identity
NPI1205424058
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MACKENZIE SUSANN YOUNG
Location Address714 LOST LANEKeizer, OR 97303
Mailing Address714 Lost LaneKeizer, OR 97303 · (503) 856-6252
Phone(503) 576-4600
Sole ProprietorNo
Enumeration DateJanuary 7, 2021
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1205424058 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
714 LOST LANE, Keizer, OR 97303
Other Names 1
Former Name (1)Ms. Mackenzie Susann Proulx
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205424058, enumerated as an "individual" on January 07, 2021.
The provider is located at 714 LOST LANE KEIZER, OR 97303 and the phone number is (503) 576-4600.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
