Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristal Rose McKenzie, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073047056

Kristal Rose McKenzie, LADC is an Addiction (Substance Use Disorder) Counselor in Saint Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

3381 Gorham Ave
Saint Louis Park, MN 55426-4240
Phone: (952) 926-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 303641 (MN)

Record details

NPI number1073047056
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorNo
NPI enumeratedApril 17, 2017
Last updated in NPPESApril 17, 2017