Crandall, Mackenzie Michael

Crandall, Mackenzie Michael is an individual health care provider with primary practice located at 5980 S Main St Ste 101 , Clarkston MI 48346-2377. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Crandall, Mackenzie Michael can be contacted via phone (248) 625-2970.

Contact Information

Primary practice address
5980 S Main St Ste 101 Clarkston MI 48346-2377
Phone: (248) 625-2970
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6451022802 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6362009701 Michigan

Profile Details

NPI number 1003514019
LBN Legal business name Crandall, Mackenzie Michael
Credentials LLPC, MA, TLLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2023
Last updated Jun 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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