Individual provider · Type 1 NPI

Mackenzie Vincent

Mental Health Counselor · Lawrenceville, IL

NPI number 1689338311 Active

Practice location

11362 Country Club Rd
Lawrenceville, IL 62439-4325

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689338311

Mackenzie Vincent's National Provider Identifier is 1689338311, issued on Oct 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, IL. The record was last updated on Oct 28, 2021.