Individual
MRS. MACKENZIE E THORSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, NCC, LAC
Contact information
Practice address
2020 S MCCLINTOCK DR STE 101, TEMPE, AZ 85282-2691
(520) 955-8507
Mailing address
2020 S MCCLINTOCK DR STE 101, TEMPE, AZ 85282-2691
(520) 955-8507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20241
AZ
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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