Individual
DAMON MARK MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1234 POINT ROYAL LOOP, CHARLESTON, AR 72933-8239
(479) 965-5443
Mailing address
1234 POINT ROYAL LOOP, CHARLESTON, AR 72933-8239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1802018
AR
101YP2500X
Professional Counselor
Primary
P2103167
AR
Other
Enumeration date
04/04/2018
Last updated
11/06/2023
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