Provider Information for 1568946341
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MCKENZIE JEAN THOMAS LPCC
Sex: Female
NPI: 1568946341
Last Updated: 2024-05-22
Certification Date: 2024-05-22
Certification Date: 2024-05-22
Details
| Name | Value | ||||||||||||||||
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| NPI | 1568946341 | ||||||||||||||||
| Enumeration Date | 2018-09-18 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 700 CHILDRENS DR COLUMBUS, OH 43205-2639 United States Phone: 614-722-2000 | Fax: | ||||||||||||||||
| Primary Practice Address | 444 BUTTERFLY GARDENS DR COLUMBUS, OH 43215-3427 United States Phone: 614-355-8695 | Fax:614-355-7855 | ||||||||||||||||
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