# MACKENZIE SODESTROM MARRIAGE & FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275234494
- **Authorized official:** MACKENZIE SODESTROM LMFT (OWNER)
- **Authorized official phone:** (925) 640-0795

## Contact information

- **Practice address:** 370 GRAND AVE STE 4, OAKLAND, CA 94610-4874
- **Practice address phone:** (510) 210-1191
- **Mailing address:** 370 GRAND AVE STE 4, OAKLAND, CA 94610-4874
- **Mailing address phone:** (510) 210-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2023
- **Last updated:** 03/14/2023