Individual
MACKENZIE RENE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LICDC
Contact information
Practice address
8963 KINGSRIDGE DR STE A, DAYTON, OH 45458-1623
(606) 485-9323
Mailing address
8963 KINGSRIDGE DR STE A, DAYTON, OH 45458-1623
(606) 485-9323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2204361
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162278
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/09/2019
Last updated
09/11/2023
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