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Individual

MCKENZIE E BOSSERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QP, MA, LCMHC, NCC

Contact information

Practice address
2201 CANDUN DR STE 101, APEX, NC 27523-6411
(919) 359-0669
(919) 243-1879
Mailing address
2201 CANDUN DR STE 101, APEX, NC 27523-6411
(919) 261-6099

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12828
NC
101YP2500X
Professional Counselor
A12828
NC

Other

Enumeration date
06/23/2017
Last updated
07/21/2022
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