Individual
MS. MARY JANE MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC-S, LCAS, CCS
Contact information
Practice address
16930 W CATAWBA AVE APT K, CORNELIUS, NC 28031-5638
(336) 541-5867
Mailing address
20815 STERLING BAY LN E APT K, CORNELIUS, NC 28031-4915
(336) 541-5867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
52
NC
101YM0800X
Mental Health Counselor
S5125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103046
—
NC
Enumeration date
03/02/2007
Last updated
01/14/2026
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