Individual provider · Type 1 NPI

Lacey Jill Mackenzie, LPC

Mental Health Counselor · Ontario, OR

NPI number 1447480215 Active

Practice location

1219 SW 4th Ave Unit 1
Ontario, OR 97914-4500

Mailing address

1233 W 4th St
Weiser, ID 83672-1533

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC- 4348 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1447480215

Lacey Jill Mackenzie, LPC's National Provider Identifier is 1447480215, issued on Jul 15, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ontario, OR. The record was last updated on Jul 15, 2009.