Mckenzie Mieszkowski, LCPC, CADC

NPI #1396457735 in Coal City, Illinois

Provider Information

NPI Number: 1396457735
Entity Type: Individual
Name: Mckenzie Mieszkowski, LCPC, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCPC, CADC
Enumeration Date: Dec 16, 2022
Last Updated: Dec 16, 2022

Practice Location

Address: 40 N BROADWAY ST
City: Coal City
State: Illinois
ZIP Code: 60416-1688
Phone: (224) 335-7413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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