NPI | 1679972855 |
---|---|
Doing Business As | MACKENZIE COUNSELING AND CONSULTATION SERVICES |
Entity Type | Organization |
Authorized Contact | LAVONNE BROWNE Practice Administrator 850-377-5389 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04813) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2966) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2022-02-15 |