Most Relevant Information
Provider Data
| NPI Number: | 1003314204 |
| Provider Name: | THOMAS MACKEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 130691 |
Most Important Dates
| Enumeration Date: | 01/23/2018 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
3125 N BROADWAY
LOS ANGELES
CA
900312703
Practice Location Phone/Fax
| Phone: | 2132153017 |
| Fax: |
Provider Mailing Location
3125 N BROADWAY
LOS ANGELES
CA
900312703
Provider Mailing Phone/Fax
| Phone: | 2132153017 |
| Fax: |