Nichole McKenzie
Counselor, Mental Health in Ocoee, FL. Individual provider (NPI-1).
NPI number1083160337
StatusActive
Last updated in NPPESAug 28, 2016
Details
- NPI
- 1083160337
- Entity type
- Individual (NPI-1)
- Name
- Nichole McKenzie
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2016
- Last updated
- Aug 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | IMH11541 | FL | Yes |
Practice location
3200 Old Winter Garden Rd Apt 1822Ocoee, FL 34761-4539
Phone 216-390-1044
Mailing address
3200 Old Winter Garden Road, Apt 1822Ocoee, FL 34761-4539
Phone 216-390-1044
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