Individual
BRENDA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MED, LPC
Contact information
Practice address
531 BRYDEN AVE, LEWISTON, ID 83501-4438
(208) 798-1646
(208) 798-5568
Mailing address
827 GRELLE AVE, LEWISTON, ID 83501-5209
(208) 798-1646
(208) 798-5568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-5676
ID
101YP2500X
Professional Counselor
LPC-3998
ID
Other
Enumeration date
03/13/2009
Last updated
11/21/2025
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