Individual
CHRISTINE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
257 DEERING AVE STE 201, PORTLAND, ME 04103-4858
(207) 400-4306
Mailing address
21 BUTTONWOOD LN, PORTLAND, ME 04102-1629
(207) 807-2032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5014
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XL5014
STATE OF MAINE COUNSELING LICENSE BOARD
ME
Enumeration date
10/21/2018
Last updated
10/21/2018
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