Provider Demographics
NPI:1366019937
Name:ESSON, MACKENZIE (LPCC)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:ESSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 PAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-3218
Mailing Address - Country:US
Mailing Address - Phone:763-780-3307
Mailing Address - Fax:763-780-3306
Practice Address - Street 1:625 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-4219
Practice Address - Country:US
Practice Address - Phone:763-780-3307
Practice Address - Fax:763-780-3306
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC05162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN90-0678865OtherTAX NUMBER