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Lacy Brenna Mckenzie, MSNCCLPC
Mental Health Counselor in Klamath Falls, Oregon
NPI 1659371664

Lacy Brenna Mckenzie is a Mental Health Counselor based in Klamath Falls, OR and is specialized in Mental Health. Lacy Brenna Mckenzie practices in Klamath Falls, OR and has the professional credentials of MSNCCLPC. The NPI Number for Lacy Brenna Mckenzie is 1659371664 and holds a License No. C1364 (Oregon).

The current practice location address for Lacy Brenna Mckenzie is 3949 S 6Th St, Klamath Falls, OR and can be reached out via phone at 800-552-6290 and via fax at 541-880-0560.

Location: 3949 S 6Th St, Klamath Falls, OR, 97603-4746
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Provider Profile Details
NPI Number
1659371664
Provider Name
Lacy Brenna Mckenzie
Credential
MSNCCLPC
Provider Entity Type
Individual
Gender
Female
Address
3949 S 6Th St, Klamath Falls, OR, 97603-4746
Phone Number
800-552-6290
Fax Number
541-880-0560
Provider Enumeration Date
08/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
129861 05 OR
C1364 01 OR CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
3949 S 6Th St
City
State
Zip
97603-4746
Phone Number
800-552-6290
Fax Number
541-880-0560
person
Provider Business Mailing Address Details
Address
3949 S 6Th St
City
State
Zip
97603-4746
Phone Number
800-552-6290
Fax Number
541-880-0560
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C1364 (Oregon)
Definition
Definition to come...
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