Provider Demographics
NPI:1972008993
Name:DRESSING, MACKENZIE GRACE (MA)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:GRACE
Last Name:DRESSING
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 1:6210 OLD FRANCONIA RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-2529
Mailing Address - Country:US
Mailing Address - Phone:252-518-5937
Mailing Address - Fax:
Practice Address - Street 1:6210 OLD FRANCONIA RD UNIT A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2529
Practice Address - Country:US
Practice Address - Phone:252-518-5937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124064106H00000X
CA117319106H00000X
VA0717002037106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist