Individual
MACKENZIE RACHEL TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 TUNNEL HILL RD, ELIZABETHTOWN, KY 42701-8026
(270) 765-2335
Mailing address
420 MILLERS DR, SHEPHERDSVILLE, KY 40165-7099
(502) 921-3306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
290283
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199700
PERSONAL
—
Enumeration date
02/14/2021
Last updated
02/27/2024
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