NPI 1053724724

Cheryl McKenzie, PHDLADC

Practitioner Addiction (Substance Use Disorder) Counselor Rutland, VT

Practice location

Address: 88 Park St, Rutland, VT 05701-4710
Phone: (802) 775-2395
Fax: (802) 773-9656

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 104338 (VT)

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Registry record

NPI: 1053724724
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2014
Record last updated: 10 Jun 2014

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.