Individual provider · Type 1 NPI
Kelley Elizabeth Mackenzie, MS, LADC
Addiction (Substance Use Disorder) Counselor · South Portland, ME
NPI number
1740587666
Active
Practice location
650 Main St, Suite 103
South Portland, ME 04106-5448
Fax (207) 774-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LC3942 (ME) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740587666
Kelley Elizabeth Mackenzie, MS, LADC's National Provider Identifier is 1740587666, issued on Feb 13, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Portland, ME. The record was last updated on Feb 13, 2011.