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NPI Code Detail

MEDICARE: SYLVETTE DREAM MCKENZIE

MEDICARE:   SYLVETTE DREAM MCKENZIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101Y00000XCounselor

General Provider Information

NPI Number : 1326831207
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVETTE DREAM MCKENZIE
Provider Business Mailing Address
First Line : PO BOX 43256
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32203-3256
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3521 DIGNAN ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32254-3801
Country : US
Telephone Number : 912-428-4248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2025
Last Update Date : 05/23/2025

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Directions to “ SYLVETTE DREAM MCKENZIE ” Practice Location

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