Individual
MACKENZIE MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 BIRCH LN, DAVIS, CA 95618-1450
(530) 757-5395
Mailing address
1600 BIRCH LN, DAVIS, CA 95618-1450
(530) 757-5395
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
250140594
CA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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