Individual
MRS. MEGAN CARLENE MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15927 W PARADISE LN, SURPRISE, AZ 85374-5854
(480) 235-0736
Mailing address
15927 W PARADISE LN, SURPRISE, AZ 85374-5854
(480) 235-0736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
20176
AZ
101YM0800X
Mental Health Counselor
Primary
20176
AZ
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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