Individual
MCKENZIE MELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-5263
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-5263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R7661
OR
101YP2500X
Professional Counselor
Primary
C10061
OR
Other
Enumeration date
07/23/2021
Last updated
06/09/2026
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