Individual provider · NPI-1
Mackenzie Marie St. John, MSW
Counselor, Mental Health · Littlestown, PA
NPI number1134959554
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1134959554
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Marie St. John
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
815 Orphanage RoadLittlestown, PA 17340-9329
Phone 717-359-7148 · Fax 717-359-2600
Mailing address
815 Orphanage RoadLittlestown, PA 17340-9329
Phone 717-359-7148 · Fax 717-359-2600
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