Mckenzie, Jacqueline

Mckenzie, Jacqueline is an sole proprietor health care provider with primary practice located at 24 Glenwood Ave , Dayton OH 45405-3831. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mckenzie, Jacqueline can be contacted via phone (937) 814-3573.

Contact Information

Primary practice address
24 Glenwood Ave Dayton OH 45405-3831
Phone: (937) 814-3573
Fax: (937) 715-4407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.0014444 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X .943876 Ohio

Profile Details

NPI number 1942382841
LBN Legal business name Mckenzie, Jacqueline
Credentials M.A.S.M., L.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jan 1st, 2024 - 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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