NPI 1003514019

Mackenzie Michael Crandall, LLPCMATLLP

Practitioner Counselor Clarkston, MI

Practice location

Address: 5980 S Main St STE 101, Clarkston, MI 48346-2377
Phone: (248) 625-2970
Mailing address: 2375 Walton Blvd Unit 4, Rochester Hills, MI 48309-1459

Registered specialties (2)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 6451022802 (MI)

Other Counselor providers in Michigan →

Counseling Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 6362009701 (MI)

Other Psychologist providers in Michigan →

Registry record

NPI: 1003514019
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2023
Record last updated: 19 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.