Individual provider · Type 1 NPI
Jacqueline McKenzie, M.A.S.M., L.S.W.
Addiction (Substance Use Disorder) Counselor · Dayton, OH
NPI number
1942382841
Active
Practice location
24 Glenwood Ave
Dayton, OH 45405-3831
Fax (937) 715-4407
Mailing address
4455 Broadbush Dr
Trotwood, OH 45426-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | S.0014444 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | .943876 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1942382841
Jacqueline McKenzie, M.A.S.M., L.S.W.'s National Provider Identifier is 1942382841, issued on Oct 19, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jan 1, 2024.