Individual
MARY E MCGHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCMHC, NCC
Contact information
Practice address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Mailing address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001444
VA
106H00000X
Marriage & Family Therapist
0717000652
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111891
ANTHEM BC/BS PROVIDER #
VA
01
—
228207
TRICARE
VA
05
—
5405181
—
VA
Enumeration date
09/11/2006
Last updated
06/10/2020
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