Individual
MACKENZIE A WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10245 E VIA LINDA STE 218A, SCOTTSDALE, AZ 85258-5317
(602) 540-0441
Mailing address
10245 E VIA LINDA STE 218A, SCOTTSDALE, AZ 85258-5317
(602) 540-0441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22157
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-2022
ASU - COLLEGE OF INTEGRATED SCIENCES
AZ
Enumeration date
02/09/2023
Last updated
08/04/2023
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