Individual
MACKENZIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
52188 VAN DYKE AVE STE 319, SHELBY TOWNSHIP, MI 48316-3571
(586) 262-9503
Mailing address
52188 VAN DYKE AVE STE 319, SHELBY TOWNSHIP, MI 48316-3571
(586) 262-9503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023403
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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