Individual
TERESA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO60123119
Contact information
Practice address
1026 E 1ST ST, SUITE 2, PORT ANGELES, WA 98362-4020
(360) 452-9836
Mailing address
1026 E 1ST ST STE 2, PORT ANGELES, WA 98362-4020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60123119
WA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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