Individual
MACKENZIE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (TEMP)
Contact information
Practice address
1101 17TH AVE S, NASHVILLE, TN 37212-2203
(615) 405-1426
Mailing address
2410 ELLIOTT AVE APT 760, NASHVILLE, TN 37204-2575
(615) 405-1426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5574
TN
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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