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Individual

MARY MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AMFT, LCPC

Contact information

Practice address
1968 S COAST HWY # 3691, LAGUNA BEACH, CA 92651-3681
(909) 654-6681
Mailing address
1209 S 4TH ST W, MISSOULA, MT 59801-2441
(509) 591-8330

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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