Individual
MACKENZIE GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 EASTERN PKWY STE 1226, LOUISVILLE, KY 40217-1462
(660) 726-2030
Mailing address
1169 EASTERN PKWY STE 1226, LOUISVILLE, KY 40217-1462
(502) 822-7679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
277220
KY
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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