Provider Demographics
NPI:1689760712
Name:MACKINNON, ALISON (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:MACKINNON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01038-9748
Mailing Address - Country:US
Mailing Address - Phone:508-737-9155
Mailing Address - Fax:
Practice Address - Street 1:39 UNION ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1468
Practice Address - Country:US
Practice Address - Phone:413-529-1764
Practice Address - Fax:413-529-9047
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5951101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health