National Provider Identifier
Mackenzie Marguerite Northrup
Mackenzie Marguerite Northrup is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Kenmore, NY and a listed phone number of (716) 217-0010.
Profile Overview
- NPI
- 1801488325
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 05, 2021
- Last Updated
- December 27, 2024
Practice Location
- 1129 Kenmore Ave
- Kenmore, NY 14217-2845
Phone: (716) 217-0010
Specialties
- Mental Health Counselor (101YM0800X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1801488325
- Entity Type
- Individual
- Last Name
- Northrup
- First Name
- Mackenzie
- Middle Name
- Marguerite
- Name Prefix
- Miss
- Mailing Street Address
- 1129 Kenmore Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2845
- Mailing Country
- US
- Mailing Phone
- (716) 217-0010
- Practice Street Address
- 1129 Kenmore Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2845
- Practice Country
- US
- Practice Phone
- (716) 217-0010
- Enumeration Date
- February 05, 2021
- Last Updated
- December 27, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Counselor (101Y00000X)