Michael Charles Mackenzie M.A.

NPI 1619140704 - Counselor - 101YM0800X

NPI Details
NPI 1619140704
Gender Male
Enumeration Date 04/09/2008
Last Updated 04/09/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2020 TERRY ST
LONGMONT CO, 80501-1893, US
Phone (303) 520-7781
Fax
Business Location
1023 STATE HIGHWAY 119
LONGMONT CO, 80504-9538, US
Phone (303) 520-7781
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Colorado
License Number 3955
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According to our database, Mr. Michael Charles Mackenzie M.A. NPI is 1619140704, taxonomy code is 101YM0800X and license number is 3955, license state is located at Colorado. Michael Charles Mackenzie M.A. physically located at 2020 Terry St, Longmont CO, 80501-1893. NPI Number Michael Charles Mackenzie M.A. has the Individual type.

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1619140704 NPI number is provided on an as is basis without warranty of any kind. 1619140704 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Charles Mackenzie M.A. are for informational purposes only.