Individual
MACKENZIE ANN DEFFENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2005 HIGHLAND AVE STE B, EAU CLAIRE, WI 54701-4390
(715) 832-5454
(715) 832-2991
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5094-125
WI
Other
Enumeration date
06/23/2017
Last updated
11/10/2025
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