(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003514019
Provider Name: MACKENZIE MICHAEL CRANDALL LLPC, MA, TLLP
Entity Type: Individual
Taxonomy Code: 101Y00000X
Specialty: Counselor
License Number: 6451022802
Most Important Dates
Enumeration Date: 02/20/2023
Last Updated: 06/19/2023
Provider Practice Location
5980 S MAIN ST STE 101
CLARKSTON
MI
483462377
Practice Location Phone/Fax
Phone: 2486252970
Fax:
Provider Mailing Location
2375 WALTON BLVD UNIT 4
ROCHESTER HILLS
MI
483091459
Provider Mailing Phone/Fax
Phone: 2482008023
Fax: