Mackenzie Dibartolo, APCC
Counselor, Mental Health in San Clemente, CA. Individual provider (NPI-1).
NPI number1932099736
StatusActive
Last updated in NPPESJul 7, 2025
Details
- NPI
- 1932099736
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Dibartolo
- Credential
- APCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2025
- Certification date
- Jul 7, 2025
- Last updated
- Jul 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | APCC18612 | CA | Yes |
Practice location
1000 Calle AmanecerSan Clemente, CA 92673-6214
Phone 949-414-4504
Mailing address
1000 Calle AmanecerSan Clemente, CA 92673-6214
Phone 949-414-4504
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All 26 Mental Health Counselor providers in San Clemente · All 1,327 providers in San Clemente
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