Individual
MACKENZI ANN CONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
555 REDBIRD CIR, DE PERE, WI 54115-7977
(920) 338-6830
(920) 338-6879
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7229-226
WI
101YP2500X
Professional Counselor
Primary
11295-125
WI
101YP2500X
Professional Counselor
6401224968
MI
Other
Enumeration date
05/30/2024
Last updated
11/28/2025
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