Individual
AMANDA F MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
817 W 17TH ST, #2, BLOOMINGTON, IN 47404-3333
(513) 260-3939
Mailing address
817 W 17TH ST, #2, BLOOMINGTON, IN 47404-3333
(513) 260-3939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/23/2014
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