Mackenzie, Lacey Jill
Mackenzie, Lacey Jill is an individual health care provider with primary practice located at 1219 Sw 4Th Ave Unit 1 , Ontario OR 97914-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mackenzie, Lacey Jill can be contacted via phone (541) 889-2668.Contact Information
Primary practice address
1219 Sw 4Th Ave Unit 1
Ontario OR 97914-4500
Phone: (541) 889-2668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC- 4348 | Idaho |
Profile Details
| NPI number | 1447480215 |
|---|---|
| LBN Legal business name | Mackenzie, Lacey Jill |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2009 |
| Last updated | Jul 15th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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