Individual
ASHLEY LYNN MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
1692 EL CAMINO REAL, SAN CARLOS, CA 94070-5208
(650) 817-9070
(650) 817-9074
Mailing address
37046 WALNUT ST APT C, NEWARK, CA 94560-2969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14144-RAC
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
05/10/2023
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