Individual
MS. TIFFANI DANAE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5106 N ROCKWELL AVE, BETHANY, OK 73008-2032
(405) 887-1314
Mailing address
10204 ABERDEEN DR, YUKON, OK 73099-7666
(405) 630-0025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3969
OK
Other
Enumeration date
08/10/2006
Last updated
03/08/2020
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