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Mackenzie Wise
Counselor in Beavercreek, Ohio
NPI 1407617467

Mackenzie Wise is a Counselor based in Beavercreek, OH. Mackenzie Wise practices in Beavercreek, OH. The NPI Number for Mackenzie Wise is 1407617467 and holds a License No. C.2405463-TRNE (Ohio).

The current practice location address for Mackenzie Wise is 3171 Beaver Vu Dr Ste C, Beavercreek, OH and can be reached out via phone at 937-306-8077 and via fax at 937-306-8079.

Location: 3171 Beaver Vu Dr Ste C, Beavercreek, OH, 45434-6368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407617467
Provider Name
Mackenzie Wise
Credential
Provider Entity Type
Individual
Gender
Female
Address
3171 Beaver Vu Dr Ste C, Beavercreek, OH, 45434-6368
Phone Number
937-306-8077
Fax Number
937-306-8079
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3171 Beaver Vu Dr Ste C
City
Beavercreek
State
Ohio
Zip
45434-6368
Phone Number
937-306-8077
Fax Number
937-306-8079
person
Provider Business Mailing Address Details
Address
3171 Beaver Vu Dr Ste C
City
Beavercreek
State
Ohio
Zip
45434-6368
Phone Number
937-306-8077
Fax Number
937-306-8079
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.2405463-TRNE (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.2405463-TRNE (Ohio)
Definition
Definition to come...
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