Individual
ELEANOR KATHRYN MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4484 COVINGTON HWY STE 100A, DECATUR, GA 30035-1203
(404) 286-0054
Mailing address
3589 COLUMBIA PKWY, DECATUR, GA 30034-3323
(404) 284-2528
(404) 284-2528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00933
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00933
LICENSED PROFESSIONAL COUNSELOR
GA
Enumeration date
03/15/2012
Last updated
03/15/2012
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