Individual
MACKENZIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
3108 MANOR RD, AUSTIN, TX 78723-5719
(512) 913-4155
Mailing address
3108 MANOR RD, AUSTIN, TX 78723-5719
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205867
TX
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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