Individual provider · Type 1 NPI
McKenzie Smallcomb
Mental Health Counselor · Rochester, NY
NPI number
1770170284
Active
Practice location
945 E Henrietta Rd Ste A-7
Rochester, NY 14623-1419
Mailing address
29 Gale Ter
Rochester, NY 14610-1920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 008666-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1770170284
McKenzie Smallcomb's National Provider Identifier is 1770170284, issued on Dec 30, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Dec 30, 2020.