MACKENZIE CLUBB, AAS

Counselor

Active Individual
NPI: 1548155112

Practice Address

2615 EDWARDS ST
Alton, IL 62002

Phone: (618) 462-2331

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1548155112 is the National Provider Identifier for MACKENZIE CLUBB, AAS, a Counselor provider located in Alton, IL. This NPI was enumerated on June 12, 2025.
MACKENZIE CLUBB, AAS practices at 2615 EDWARDS ST, Alton, IL 62002.

Quick Facts

NPI
1548155112
Type
Individual
Enumerated
Jun 12, 2025
Last Updated
Jun 12, 2025

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