Individual
MACKENZIE HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2068 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 340-1688
Mailing address
2068 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 340-1688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4671332
ID
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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