| Doctor Name: | JESSICA MARIE MCKENZIE |
| NPI Number: | 1053544411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 209 Park St Malone, NY - 129531228 |
| Business Phone Number: | 5184833261 |
| Business Fax Number: | |
| Mailing Address: | 2 Cane Rd, SARANAC |
| State: | NY |
| Postal Code: | 129814000 |
| Phone Number: | 5185708639 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2009 |
| NPI Last Update Date: | 09/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |