Individual
MACKIE YAUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW LCAC
Contact information
Practice address
1601 W 4TH ST, COFFEYVILLE, KS 67337-3333
(620) 251-8180
Mailing address
1601 W 4TH ST, COFFEYVILLE, KS 67337-3333
(620) 251-8180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00835
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
067
KS
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
06031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106710 S
—
KS
Enumeration date
06/13/2014
Last updated
05/19/2026
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