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NPI Code Detail

MEDICARE: JENNIFER MACKIN

MEDICARE:   JENNIFER  MACKIN
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1215665658
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MACKIN
Provider Business Mailing Address
First Line : 2008 WESTLAKE AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2695
Country : US
Telephone Number : 206-956-9570
Fax Number :
Provider Business Practice Location Address
First Line : 4545 8TH AVE NE APT 302
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5797
Country : US
Telephone Number : 206-990-3069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2022
Last Update Date : 02/02/2026

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Directions to “ JENNIFER MACKIN ” Practice Location

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