Individual
MARY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAC II
Contact information
Practice address
3000 S COLLEGE AVE UNIT 202, FORT COLLINS, CO 80525-2558
(970) 221-4057
Mailing address
3000 S COLLEGE AVE UNIT 202, FORT COLLINS, CO 80525-2558
(970) 221-4057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB7920
CO
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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