Individual
MARY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-71673
MT
106H00000X
Marriage & Family Therapist
139588
CA
Other
Enumeration date
11/07/2023
Last updated
11/15/2024
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