Individual
MACKENZIE CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
71 E WILSON BRIDGE RD STE A5, WORTHINGTON, OH 43085-2358
(614) 547-9233
Mailing address
71 E WILSON BRIDGE RD STE A5, WORTHINGTON, OH 43085-2358
(614) 547-9233
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2203944
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.2002765-TRNE
OH
Other
Enumeration date
06/15/2021
Last updated
01/20/2022
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