Individual
MACKENZIE MICHAEL CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC, MA, TLLP
Contact information
Practice address
5980 S MAIN ST STE 101, CLARKSTON, MI 48346-2377
(248) 625-2970
Mailing address
2375 WALTON BLVD UNIT 4, ROCHESTER HILLS, MI 48309-1459
(248) 200-8023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022802
MI
103TC1900X
Counseling Psychologist
6362009701
MI
Other
Enumeration date
02/20/2023
Last updated
06/19/2023
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