Jelly Mckenzie

NPI #1902344773 in Fallon, Nevada

Provider Information

NPI Number: 1902344773
Entity Type: Individual
Name: Jelly Mckenzie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 1, 2017
Last Updated: Feb 1, 2017

Practice Location

Address: 295 E WILLIAMS AVE
City: Fallon
State: Nevada
ZIP Code: 89406-3020
Phone: (775) 867-5615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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