Individual
MR. MARK RICHARD MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0003902
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202181291
TAX INDENTIFICATION NO.
OH
01
—
279938000
MAGELLAN MIS NUMBER
OH
01
—
791082000
MAGELLAN MIS GROUP NUMBER
OH
Enumeration date
09/20/2006
Last updated
03/20/2025
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