Individual
NICHOLAS JARED MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CAADC
Contact information
Practice address
13231 FROST RD, HEMLOCK, MI 48626-9441
(989) 971-2955
Mailing address
13231 FROST RD, HEMLOCK, MI 48626-9441
(989) 971-2955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015577
MI
Other
Enumeration date
05/19/2015
Last updated
08/18/2021
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