Individual provider · Type 1 NPI

Ryan Lee Mackey, B.A., MHP

Addiction (Substance Use Disorder) Counselor · Dixon, IL

NPI number 1346542776 Active

Practice location

325 Illinois Rt 2
Dixon, IL 61021-9118

Mailing address

1209 Washington Ave Apt B2
Dixon, IL 61021-1174

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346542776

Ryan Lee Mackey, B.A., MHP's National Provider Identifier is 1346542776, issued on Nov 17, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dixon, IL. The record was last updated on Nov 17, 2010.