person
Keith Ray Mackie, MA,LPC
Professional Counselor in Springfield, Missouri
NPI 1588738702

Keith Ray Mackie is a Professional Counselor based in Springfield, MO and is specialized in Professional. Keith Ray Mackie practices in Springfield, MO and has the professional credentials of MA,LPC. The NPI Number for Keith Ray Mackie is 1588738702 and holds a License No. 2454 (Missouri).

The current practice location address for Keith Ray Mackie is 1212 W Lombard St, Springfield, MO and can be reached out via phone at 417-865-1646.

Location: 1212 W Lombard St, Springfield, MO, 65806-2720
person
Provider Profile Details
NPI Number
1588738702
Provider Name
Keith Ray Mackie
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
1212 W Lombard St, Springfield, MO, 65806-2720
Phone Number
417-865-1646
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1212 W Lombard St
City
State
Zip
65806-2720
Phone Number
417-865-1646
Fax Number
person
Provider Business Mailing Address Details
Address
1212 W Lombard St
City
State
Zip
65806-2720
Phone Number
417-865-1646
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2454 (Missouri)
Definition
Definition to come...
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