Individual provider · Type 1 NPI

Jacalyn Rose McKenzie, CADC CANDIDATE

Addiction (Substance Use Disorder) Counselor · Prineville, OR

NPI number 1528554151 Active

Practice location

1333 NW 9th St
Prineville, OR 97754-1482

Call (541) 447-2631 Map

Fax (541) 447-2616

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-18-076 (OR)

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

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About NPI 1528554151

Jacalyn Rose McKenzie, CADC CANDIDATE's National Provider Identifier is 1528554151, issued on Jul 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prineville, OR. The record was last updated on Jul 6, 2018.