Mckenzie, Fred R

Mckenzie, Fred R is an sole proprietor health care provider with primary practice located at 237 Grand Ridge Rd , Saint Charles IL 60175-1074. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mckenzie, Fred R can be contacted via phone (630) 587-6939.

Contact Information

Primary practice address
237 Grand Ridge Rd Saint Charles IL 60175-1074
Phone: (630) 587-6939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1316076599
LBN Legal business name Mckenzie, Fred R
Credentials PH.D. LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

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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