NPI 1700619756 · live from the CMS NPI Registry
Mackenzie Dawn Andrew
Counselor in Bethel, AK. National Provider Identifier 1700619756, active.
NPI record
| NPI | 1700619756 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | Po Box 1087, Bethel, AK 99559 |
| Practice phone | 907-543-6730 |
| Enumerated | August 24, 2024 |
| Last updated | August 24, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor primary | 101Y00000X | — (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.