Individual provider · Type 1 NPI

Mackenzie Harrison

Counselor · Glen Carbon, IL

NPI number 1104435494 Active

Practice location

88 S Main St Ste 2
Glen Carbon, IL 62034-1415

Fax (618) 288-8959

Mailing address

PO Box 639
Glen Carbon, IL 62034-0639

Other practice locations

  • 307 Henry St Ste 100, Alton, IL 62002-6326 · (618) 288-8085

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1104435494

Mackenzie Harrison's National Provider Identifier is 1104435494, issued on Jul 23, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jun 18, 2021.