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Mckenzi Roulette
NPI 1659918472 · on the registry since 2019
Practice
- Address
- 4000 Ne 109th Ave Unit 68
Vancouver, WA 98682 - Phone
- (801) 309-4601
- Organisation at this address
- Ed Behavioral Health Solutions Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington