Individual provider · Type 1 NPI
Marilyn Renee McKensley
Addiction (Substance Use Disorder) Counselor · Shirpock, NM
NPI number
1316686728
Active
Practice location
Pinon & Cottionwood Drive Building 2301
Shirpock, NM 87420
Mailing address
PO Box 1830
Shiprock, NM 87420-1830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CTB-2022-0116 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1316686728
Marilyn Renee McKensley's National Provider Identifier is 1316686728, issued on Jun 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shirpock, NM. The record was last updated on Jun 21, 2022.