Mackura, Megan C

Mackura, Megan C is an individual health care provider with primary practice located at 12557 Ravenwood Dr , Chardon OH 44024-9009. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mackura, Megan C can be contacted via phone (440) 285-3568.

Contact Information

Primary practice address
12557 Ravenwood Dr Chardon OH 44024-9009
Phone: (440) 285-3568
Fax: (440) 285-4552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M.1500003 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1600104-SUPV Ohio

Profile Details

NPI number 1982007167
LBN Legal business name Mackura, Megan C
Credentials LPCC-S, MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2014
Last updated Jul 18th, 2024 - about 2 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 1982007167 NPPES
Ohio MEDICAID 0196156

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