Individual provider · Type 1 NPI

Dedre Ameigan Mackie

Mental Health Counselor · Buffalo, MN

NPI number 1679724934 Active

Practice location

308 12th Ave S
Buffalo, MN 55313-2321

Fax (763) 682-1353

Mailing address

1321 13th St N
St. Cloud, MN 56303-2613

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679724934

Dedre Ameigan Mackie's National Provider Identifier is 1679724934, issued on Oct 6, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, MN. The record was last updated on Oct 6, 2008.