Mackenzie Bolls

NPI 1316813165 · on the registry since 2025 · sole proprietor

Practice

Address: 310 N Mount Shasta Blvd Ste 5
Ste 5
Mount Shasta, CA 96067
Phone: (530) 524-9661
Organisation at this address: First 5 Siskiyou Children And Families Commission
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 172V00000X
172V00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-16

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