Individual
MS. MACKENZIE DEFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, CRC
Contact information
Practice address
7741 ROSWELL RD STE B, ATLANTA, GA 30350-4845
(404) 613-1656
Mailing address
11204 JEFFERSON CIR N, CHAMBLEE, GA 30341-2690
(707) 122-3957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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