Individual
MACKENZIE HEATHCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BISHOP ST, PORTLAND, ME 04103-2659
(207) 203-7933
Mailing address
17 BISHOP ST, PORTLAND, ME 04103-2659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC9155
ME
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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