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Individual

JONATHAN CHARLES MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1930 S ALMA SCHOOL RD STE A206, MESA, AZ 85210-3066
(480) 779-9050
(480) 717-4025
Mailing address
1930 S ALMA SCHOOL RD STE A206, MESA, AZ 85210-3066
(480) 779-9050
(480) 717-4025

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13884
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
854855
AZ
Enumeration date
10/11/2011
Last updated
02/17/2026
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