Individual
MCKENZIE NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600 W NORRIS ST, PHILADELPHIA, PA 19121-3324
(267) 499-3609
Mailing address
1600 W NORRIS ST, PHILADELPHIA, PA 19121-3324
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC011281
PA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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