Individual
MS. STACY ANN MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5800 HIGHLAND DR, SALT LAKE CITY, UT 84121-1359
(801) 272-9980
(801) 272-9976
Mailing address
2416 SEGO LILY DR, SANDY, UT 84092-4435
(801) 942-3603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5153757-6004
UT
101YP2500X
Professional Counselor
5153757-6004
UT
Other
Enumeration date
10/06/2006
Last updated
09/11/2025
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