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: |