Individual
MACKENZIE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
631 COPELAND MILL RD, WESTERVILLE, OH 43081-8905
(614) 948-0862
Mailing address
9128 COBALT MOON XING, COLUMBUS, OH 43240-1111
(651) 402-7810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2506939
OH
Other
Enumeration date
05/14/2025
Last updated
06/06/2025
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