Mackenzie, Kylie

Mackenzie, Kylie is an sole proprietor health care provider with primary practice located at 22471 Aspan St Ste 103 , Lake Forest CA 92630-1644. 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, Kylie can be contacted via phone (949) 458-2715.

Contact Information

Primary practice address
22471 Aspan St Ste 103 Lake Forest CA 92630-1644
Phone: (949) 458-2715
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1003217993
LBN Legal business name Mackenzie, Kylie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2014
Last updated Dec 27th, 2021 - about 4 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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