MS. Mackenzie Kaylen Theis, MSW

NPI #1457898041 in Nevada City, California

Provider Information

NPI Number: 1457898041
Entity Type: Individual
Name: MS. Mackenzie Kaylen Theis, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MSW
Enumeration Date: Jan 20, 2017
Last Updated: Aug 23, 2023

Practice Location

Address: 24077 STATE HIGHWAY 49
City: Nevada City
State: California
ZIP Code: 95959-8519
Phone: (530) 265-9057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Case Manager/Care Coordinator	171M00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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