Individual
MACKENZIE WAYNE SCOTT-SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1305 MANSFIELD ST STE 6, RICHLAND, WA 99352-3588
(509) 942-1624
Mailing address
1305 MANSFIELD ST STE 6, RICHLAND, WA 99352-3588
(509) 942-1624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61071424
WA
Other
Enumeration date
05/27/2020
Last updated
04/29/2024
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