MISS KELLY LYNN MACE
NPI 1609192491
Counselor in Santa Rosa, CA

Q: What is Kelly Mace's NPI number?

The NPI number for Kelly Mace is 1609192491. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Q: What is Kelly Mace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mace was last updated on April 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2010

3440 AIRWAY DR, SUITE E, SANTA ROSA, CA 95403(707) 544-3299(707) 544-6837 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Miss Kelly Lynn Mace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KELLY LYNN MACE (NPI 1609192491) is an individual counselor in Santa Rosa, California and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1609192491

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMISS KELLY LYNN MACE

Location Address3440 AIRWAY DR, SUITE ESanta Rosa, CA 95403-2065

Mailing Address3440 Airway Dr, Suite ESanta Rosa, CA 95403-2065 · (707) 544-3299 · Fax (707) 544-6837

Phone(707) 544-3299

Fax(707) 544-6837

Sole ProprietorNo

Enumeration DateApril 19, 2010

✔ NPI 1609192491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3440 AIRWAY DR, Santa Rosa, CA 95403

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