Individual
MCKENZIE A. POVLINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, MFT
Contact information
Practice address
945 RIVER RD, GRANVILLE, OH 43023-9534
(740) 587-5252
(740) 587-2571
Mailing address
PO BOX 481, GRANVILLE, OH 43023-0481
(740) 587-5252
(740) 587-2571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0500537-SUPV
OH
106H00000X
Marriage & Family Therapist
M.0600017
OH
Other
Enumeration date
05/14/2008
Last updated
02/07/2024
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