Individual provider · Type 1 NPI
Asanta McKenzie, LAC
Mental Health Counselor · Rutherford, NJ
NPI number
1417726951
Active
Practice location
78 Hastings Ave
Rutherford, NJ 07070-1819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00763600 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1417726951
Asanta McKenzie, LAC's National Provider Identifier is 1417726951, issued on Dec 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rutherford, NJ. The record was last updated on Dec 26, 2023.