Individual
MACKENZIE ANN JUERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
501 SW 7TH ST STE A, DES MOINES, IA 50309-4538
(515) 304-5505
Mailing address
1214 WESTWOOD DR, JEFFERSON, IA 50129-2339
(515) 385-2433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T22148
IA
Other
Enumeration date
09/13/2022
Last updated
10/29/2025
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