NPI 1306905104

Jessie Jean Mackenzie, LMFT

Practitioner Marriage & Family Therapist Espanola, NM

Practice location

Address: 360 Fog Road, Espanola, NM 87532
Phone: (505) 692-6315
Fax: (505) 692-6341
Mailing address: 941 Calle Mejia APT 202, Santa Fe, NM 87501-1462

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 0104321 (NM)

Other Marriage & Family Therapist providers in New Mexico →

Registry record

NPI: 1306905104
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2006
Record last updated: 1 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.