Individual
MS. GARY PAUL MCKENZIE VI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCII
Contact information
Practice address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
(419) 747-3504
Mailing address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
(419) 747-3504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
011318
OH
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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