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Individual

DR. CHERYL MCKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.,LADC

Contact information

Practice address
88 PARK ST, RUTLAND, VT 05701-4710
(802) 775-2395
(802) 773-9656
Mailing address
88 PARK ST, RUTLAND, VT 05701-4710
(802) 775-2395
(802) 773-9656

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104338
VT

Other

Enumeration date
06/10/2014
Last updated
06/10/2014
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