| Lacey Mackenzie Counseling | |
|
1509 N Whitley Dr Suite 11 Fruitland ID 83619-2259 | |
| (208) 739-0982 | |
| Not Available |
| Full Name | Lacey Mackenzie Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1509 N Whitley Dr, Fruitland, Idaho |
| Authorized Official Name and Position | Lacey Jill Mackenzie (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2087390982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Mackenzie Counseling Po Box 173 Weiser ID 83672-0173 Ph: (208) 739-0982 | Lacey Mackenzie Counseling 1509 N Whitley Dr Suite 11 Fruitland ID 83619-2259 Ph: (208) 739-0982 |
| NPI Number | 1356649909 |
|---|---|
| Provider Enumeration Date | 03/07/2011 |
| Last Update Date | 03/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356649909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC-4348 (Idaho) | Primary |
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