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

Perris Chenelle Edwards McKenzie

Individual provider Marriage & Family Therapist · NPI 1962057729

Perris Chenelle Edwards McKenzie is a Marriage & Family Therapist in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

3068 Johnson Ave
Costa Mesa, CA 92626-2819
Phone: (714) 545-0644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 121303 (CA)

Record details

NPI number1962057729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2019
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address400 N Tustin Ave Ste 120, Santa Ana, CA 92705-3879

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