Jacalyn Rose McKenzie, CADC Candidate
Counselor, Addiction (Substance Use Disorder) in Prineville, OR. Individual provider (NPI-1).
NPI number1528554151
StatusActive
Last updated in NPPESJul 6, 2018
Details
- NPI
- 1528554151
- Entity type
- Individual (NPI-1)
- Name
- Jacalyn Rose McKenzie
- Credential
- CADC Candidate
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2018
- Last updated
- Jul 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | T-18-076 | OR | Yes |
Practice location
1333 Nw 9th StPrineville, OR 97754-1482
Phone 541-447-2631 · Fax 541-447-2616
Mailing address
1333 Nw 9th StPrineville, OR 97754-1482
Phone 541-447-2631 · Fax 541-447-2616
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All 45 Addiction (Substance Use Disorder) Counselor providers in Prineville · All 478 providers in Prineville
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