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Individual

GENA MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CSAC

Contact information

Practice address
903 BOYCE DR, RHINELANDER, WI 54501
(715) 490-4011
Mailing address
903 BOYCE DR, RHINELANDER, WI 54501-3836
(715) 490-4011

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15928-132
WI
101YP2500X
Professional Counselor
6131
WI

Other

Enumeration date
03/21/2013
Last updated
07/03/2018
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