Individual
MRS. RHONDA MCKINZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
2010 SYBIL LN, TYLER, TX 75703-1818
(903) 596-8118
(903) 596-8125
Mailing address
2010 SYBIL LN, TYLER, TX 75703-1818
(903) 596-8118
(903) 596-8125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85207L
BCBS
TX
Enumeration date
02/15/2007
Last updated
07/08/2007
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