person
Mackenzie Ann Deffenbaugh
Mental Health Counselor in Menomonie, Wisconsin
NPI 1871013458

Mackenzie Ann Deffenbaugh is a Mental Health Counselor based in Menomonie, WI and is specialized in Mental Health. Mackenzie Ann Deffenbaugh practices in Menomonie, WI. The NPI Number for Mackenzie Ann Deffenbaugh is 1871013458 and holds a License No. 5094-125 (Wisconsin).

The current practice location address for Mackenzie Ann Deffenbaugh is 4076 Kothlow Ave, Menomonie, WI and can be reached out via phone at 715-235-4537.

Location: 4076 Kothlow Ave, Menomonie, WI, 54751-3090
person
Provider Profile Details
NPI Number
1871013458
Provider Name
Mackenzie Ann Deffenbaugh
Credential
Provider Entity Type
Individual
Gender
Female
Address
4076 Kothlow Ave, Menomonie, WI, 54751-3090
Phone Number
715-235-4537
Fax Number
Provider Enumeration Date
06/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4076 Kothlow Ave
City
State
Zip
54751-3090
Phone Number
715-235-4537
Fax Number
person
Provider Business Mailing Address Details
Address
4076 Kothlow Ave
City
State
Zip
54751-3090
Phone Number
715-235-4537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5094-125 (Wisconsin)
Definition
Definition to come...
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