SearchCalifornia101YM0800X

Connie Mackenzie, LCSW

NPI 1124427901 · on the registry since 2014 · sole proprietor

Practice

Address
440 Mill Pond Dr
San Jose, CA 95125
Phone
(408) 499-5469

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California