Individual
MCKENZIE MARIE HARVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2810 CROSSROADS DR, MADISON, WI 53718-7942
(608) 889-7173
(608) 757-2319
Mailing address
2810 CROSSROADS DR, MADISON, WI 53718-7942
(608) 889-7173
(608) 757-2319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7880-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065316
—
WI
Enumeration date
04/17/2019
Last updated
08/26/2022
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