Individual
MS. JACKIE LYNN MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0394
(405) 425-0441
Mailing address
2801 NW 21ST ST, OKLAHOMA CITY, OK 73107-3111
(405) 408-4396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2715
OK
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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