Individual
MACKENZIE MARIE BLEEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1001 OFFICE PARK RD STE 205, WEST DES MOINES, IA 50265-2509
(515) 413-2356
Mailing address
4511 NE MCDOUGAL LN, ANKENY, IA 50021-6761
(641) 417-9628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
095990
IA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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