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NPI Code Detail

MEDICARE: MACKENZIE LESKOVAC

MEDICARE: MACKENZIE LESKOVAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1407788334
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE LESKOVAC
Provider Business Mailing Address
First Line : 456 N PITT ST
Second Line :
City : MERCER
State : PA
Zip : 16137-1129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 456 N PITT ST
Second Line :
City : MERCER
State : PA
Zip : 16137-1129
Country : US
Telephone Number : 724-662-7202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ MACKENZIE LESKOVAC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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