Provider Demographics
NPI:1023590957
Name:HOWSHAR, MACKENZIE (MS, MFTC)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:HOWSHAR
Suffix:
Gender:F
Credentials:MS, MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 JOHN F KENNEDY PARKWAY
Mailing Address - Street 2:BUILDING 8, SUITE A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-818-8832
Mailing Address - Fax:
Practice Address - Street 1:3950 JOHN F KENNEDY PARKWAY
Practice Address - Street 2:BUILDING 8, SUITE A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-818-8832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.002150106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist