Individual
BERNADETTE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
587 E SR 434 UNIT 1021, LONGWOOD, FL 32750-5284
(407) 331-8002
Mailing address
210 DIXIE DR, APT C2, TALLAHASSEE, FL 32304-3084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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