Individual
TANISHA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(347) 514-4485
Mailing address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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