Individual
MR. RODERICK FORBES MCKENZIE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, LADCII, CCDN
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-4001
Mailing address
9 HARBOR VIEW CT, GLOUCESTER, MA 01930-3031
(978) 283-8712
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1998
MA
164W00000X
Licensed Practical Nurse
34075
MA
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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