Organization
COGNITIVE IGNITION, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS JARED MCKENZIE MA, LPC (OWNER/THERAPIST)
(989) 971-2955
Entity
Organization
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
101Y00000X
Counselor
Primary
6401015577
MI
Other
Enumeration date
04/18/2018
Last updated
05/29/2021
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