MR. MICHAEL CHARLES MACKENZIE M.A.
NPI 1619140704
Counselor - Mental Health in Longmont, CO
Active since April 09, 2008
About Mr. Michael Charles Mackenzie M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL CHARLES MACKENZIE M.A. (NPI 1619140704) is an individual mental health provider in Longmont, Colorado, licensed in Colorado (3955) and active in the NPI registry since April 2008.
NPPES Registry Identity
NPI1619140704
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL CHARLES MACKENZIECredential: M.A.
Location Address2020 TERRY STLongmont, CO 80501-1893
Mailing Address1023 State Highway 119Longmont, CO 80504-9538 · (303) 520-7781
Phone(303) 520-7781
Sole ProprietorYes
Enumeration DateApril 9, 2008
✔ NPI 1619140704 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · 3955
2020 TERRY ST, Longmont, CO 80501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619140704, enumerated as an "individual" on April 09, 2008.
The provider is located at 2020 TERRY ST LONGMONT, CO 80501 and the phone number is (303) 520-7781.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
