Mackenzie L Taylor, LICSW
Social Worker, Clinical in Longview, WA. Individual provider (NPI-1).
NPI number1114166337
StatusActive
Last updated in NPPESMay 7, 2019
Details
- NPI
- 1114166337
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie L Taylor
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2009
- Last updated
- May 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW60495001 | WA | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
1655 Hudson St Ste 5Longview, WA 98632-2949
Phone 503-926-9413 · Fax 360-967-8030
Mailing address
1655 Hudson St Ste 5Longview, WA 98632-2949
Phone 503-926-9413 · Fax 360-967-8030
Other practice locations
945 11th Ave
Longview, WA 98632-2555
Longview, WA 98632-2555
Phone 360-414-8600
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