Provider Demographics
NPI:1851774996
Name:MACKEY, AARYN CORINNE (MA)
Entity Type:Individual
Prefix:MRS
First Name:AARYN
Middle Name:CORINNE
Last Name:MACKEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 942
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93232-0942
Mailing Address - Country:US
Mailing Address - Phone:559-423-4042
Mailing Address - Fax:559-751-2255
Practice Address - Street 1:422 N REDINGTON ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4452
Practice Address - Country:US
Practice Address - Phone:559-423-4042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CAIMF86979106H00000X
CAMFC100344106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist