Individual provider · Type 1 NPI

Anisa M. McKenzie

Mental Health Counselor · Roseburg, OR

NPI number 1992344824 Active

Practice location

548 SE Jackson St
Roseburg, OR 97470-4983

Mailing address

11 Brinley St Apt 2
Newport, RI 02840-3238

Other practice locations

  • 4919 Canal St Ste 203, New Orleans, LA 70119-5878 · (504) 483-9883

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992344824

Anisa M. McKenzie's National Provider Identifier is 1992344824, issued on Dec 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Jun 22, 2022.