Mackenzie, June

Mackenzie, June is an individual health care provider with primary practice located at 742 Massachusetts Avenue , Arlington MA 02476-4712. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mackenzie, June can be contacted via phone (781) 646-7301.

Contact Information

Primary practice address
742 Massachusetts Avenue Arlington MA 02476-4712
Phone: (781) 646-7301
Fax: (781) 643-8726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Massachusetts

Profile Details

NPI number 1124189261
LBN Legal business name Mackenzie, June
Credentials LRC LADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124189261 NPPES
Massachusetts Other 1004745 BEACON HEALTH
Massachusetts Other M18633 BEACON HEALTH
Massachusetts Other 1303287 BEACON HEALTH
Massachusetts Other 703136 BEACON HEALTH
Massachusetts Other NP01332 BEACON HEALTH
Massachusetts MEDICAID 1303287 BEACON HEALTH
Massachusetts Other 99618201 BEACON HEALTH

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