Individual
MR. MAKENZIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9925 W RUSSELL RD UNIT 2040, LAS VEGAS, NV 89148-5601
(623) 241-3968
Mailing address
9925 W RUSSELL RD UNIT 2040, LAS VEGAS, NV 89148-5601
(623) 241-3968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
NV
Enumeration date
06/17/2014
Last updated
06/17/2014
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