Individual
MARY KATHRYN MCKINZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1924 RUSTIC DR, CASPER, WY 82609-3410
(307) 258-2696
Mailing address
PO BOX 51253, CASPER, WY 82605-1253
(307) 266-6073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 721
WY
Other
Enumeration date
12/02/2006
Last updated
11/03/2011
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