Provider Demographics
NPI:1356236343
Name:LAWS, MCKENZIE RAY
Entity type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:RAY
Last Name:LAWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12601 8TH AVE W APT C310
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-1818
Mailing Address - Country:US
Mailing Address - Phone:425-563-0205
Mailing Address - Fax:425-563-0205
Practice Address - Street 1:12601 8TH AVE W APT C310
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-1818
Practice Address - Country:US
Practice Address - Phone:425-563-0205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)