Individual
CAMILLA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 MAIN ST STE 210, NEWPORT, VT 05855-6102
(802) 487-6717
Mailing address
194 MAIN ST STE 228, NEWPORT, VT 05855-6104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
097.0135798
VT
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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