Individual
DEVAN MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9014 S CENTRAL AVE, PHOENIX, AZ 85042-8304
(602) 230-7373
(602) 441-5839
Mailing address
16180 W IRONWOOD ST, SURPRISE, AZ 85374-5831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-15836
AZ
101YP2500X
Professional Counselor
Primary
LPC-18165
AZ
Other
Enumeration date
05/22/2017
Last updated
09/11/2020
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