Clark, Mary Mcginn

Clark, Mary Mcginn is an sole proprietor health care provider with primary practice located at 10981 San Diego Mission Rd Ste 114, San Diego CA 92108-2448. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Clark, Mary Mcginn can be contacted via phone (619) 280-0285.

Contact Information

Primary practice address
10981 San Diego Mission Rd Ste 114 San Diego CA 92108-2448
Phone: (619) 280-0285
Fax: (619) 280-0286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY 17897 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 17748 California

Profile Details

NPI number 1659374775
LBN Legal business name Clark, Mary Mcginn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Nov 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659374775 NPPES
California MEDICAID EPS004410

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