Individual
MACKENZIE STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1107 HAZELTINE BLVD STE 300, CHASKA, MN 55318-1065
(855) 775-7440
Mailing address
1107 HAZELTINE BLVD STE 300, CHASKA, MN 55318-1065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
3920
MN
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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