Most Relevant Information
Provider Data
| NPI Number: | 1003534728 |
| Provider Name: | MCKENZIE NASH LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | PC011281 |
Most Important Dates
| Enumeration Date: | 08/18/2022 |
| Last Updated: | 08/18/2022 |
Provider Practice Location
1600 W NORRIS ST
PHILADELPHIA
PA
191213324
Practice Location Phone/Fax
| Phone: | 2674993609 |
| Fax: |
Provider Mailing Location
1600 W NORRIS ST
PHILADELPHIA
PA
191213324
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |