Individual
BRIAN MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3367 CASCADES BLVD APT 128, TYLER, TX 75709-5448
(903) 780-5313
Mailing address
3367 CASCADES BLVD APT 128, TYLER, TX 75709-5448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
22440
CO
101YP2500X
Professional Counselor
Primary
86686
TX
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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