Individual
MS. LORRAINE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1292 HIGH ST STE 144, EUGENE, OR 97401-3238
(458) 215-0179
(541) 543-2212
Mailing address
1292 HIGH ST STE 144, EUGENE, OR 97401-3238
(458) 215-0719
(541) 543-2212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M6689
OR
1041C0700X
Clinical Social Worker
Primary
L6689
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500689849
—
OR
Enumeration date
12/12/2012
Last updated
08/12/2022
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