Individual provider · Type 1 NPI
Mackenzie Rotherham, LPC
Counselor · Chicago, IL
NPI number
1053123158
Active
Practice location
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Fax (800) 332-4281
Other practice locations
- 3209 N Lakewood Ave, Chicago, IL 60657-3215 · (312) 279-9981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 178.020981 (IL) |
Counselor: 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.
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About NPI 1053123158
Mackenzie Rotherham, LPC's National Provider Identifier is 1053123158, issued on Jan 24, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 24, 2025.