Healthcare Provider Details

I. General information

NPI: 1740117183
Provider Name (Legal Business Name): FRANCESKA RENEE MCKENZIE AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2760 WORDEN ST
SAN DIEGO CA
92110-5704
US

IV. Provider business mailing address

2760 WORDEN ST
SAN DIEGO CA
92110-5704
US

V. Phone/Fax

Practice location:
  • Phone: 619-727-1815
  • Fax:
Mailing address:
  • Phone: 619-727-1815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22115
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161960
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: