Provider Demographics
NPI:1821658451
Name:MCKENZIE, CHRISTINE WRIGHT (MSC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:WRIGHT
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ANNE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 MUMPOWER DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-4854
Mailing Address - Country:US
Mailing Address - Phone:276-591-5380
Mailing Address - Fax:
Practice Address - Street 1:284 BLEVINS BLVD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24202-5977
Practice Address - Country:US
Practice Address - Phone:276-285-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health