Mackenzie Rene Harris, LPC, LICDC
Counselor in Dayton, OH. Individual provider (NPI-1).
NPI number1164071536
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1164071536
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie Rene Harris
- Credential
- LPC, LICDC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2019
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | C.2204361 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LICDC.162278 | OH |
Practice location
8963 Kingsridge Dr Ste ADayton, OH 45458-1623
Phone 606-485-9323
Mailing address
8963 Kingsridge Dr Ste ADayton, OH 45458-1623
Phone 606-485-9323
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