Organization
WHOLE HUMAN COUNSELING AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACKENZIE BROWN PSYD (CLINICAL PSYCHOLOGIST, SPORT PSYCH)
(732) 567-6544
Entity
Organization
Contact information
Practice address
792 S BERMONT AVE, LAFAYETTE, CO 80026-1519
(732) 567-6544
Mailing address
792 S BERMONT AVE, LAFAYETTE, CO 80026-1519
(732) 567-6544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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