Mckenzie, Lacy Brenna

Mckenzie, Lacy Brenna is an individual health care provider with primary practice located at 3949 S 6Th St , Klamath Falls OR 97603-4746. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mckenzie, Lacy Brenna can be contacted via phone (800) 552-6290.

Contact Information

Primary practice address
3949 S 6Th St Klamath Falls OR 97603-4746
Phone: (800) 552-6290
Fax: (541) 880-0560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C1364 Oregon

Profile Details

NPI number 1659371664
LBN Legal business name Mckenzie, Lacy Brenna
Credentials MS NCC LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659371664 NPPES
Oregon MEDICAID 129861
Oregon Other C1364

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