Provider Demographics
NPI:1609356476
Name:MCFARLAND THERAPY, MACKENZIE (LMFT)
Entity Type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:MCFARLAND THERAPY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MACKENZIE
Other - Middle Name:ANN
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11573 LOS OSOS VALLEY RD STE I
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405-6412
Mailing Address - Country:US
Mailing Address - Phone:805-329-1234
Mailing Address - Fax:
Practice Address - Street 1:11573 LOS OSOS VALLEY RD STE I
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-6412
Practice Address - Country:US
Practice Address - Phone:805-329-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X, 390200000X
CA117497106H00000X
CA129786106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program