Individual
DANIEL MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 W 1ST AVE, TOPPENISH, WA 98948-1527
(509) 865-5233
Mailing address
321 W 1ST AVE, TOPPENISH, WA 98948-1527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61163894
WA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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