Individual
BRENDA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 DORA LN, GREENUP, KY 41144-1187
(866) 233-1955
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(740) 353-1662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
QMHS
OH
104100000X
Social Worker
Primary
S.2207815
OH
171M00000X
Case Manager/Care Coordinator
2022
OH
Other
Enumeration date
01/10/2022
Last updated
08/15/2023
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