Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie G Wallin, BA

Individual provider Counselor · NPI 1154973022

Mackenzie G Wallin, BA is a Counselor in Anchorage, Alaska. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone: (907) 770-3656
Fax: (907) 562-4503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 — (907) 279-9634
  • 4515 Campbell Airstrip Rd, Anchorage, AK 99507-1267 — (907) 279-9640

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1154973022
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESNovember 2, 2023
Certification dateJuly 30, 2020
Mailing address401 W. International Airport Rd., Suite 17, Anchorage, AK 99518-1168

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