Mcgill, Mary Jane
Mcgill, Mary Jane is an sole proprietor health care provider with primary practice located at 16930 W Catawba Ave Apt K , Cornelius NC 28031-5638. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mcgill, Mary Jane can be contacted via phone (336) 541-5867.Contact Information
Primary practice address
16930 W Catawba Ave Apt K
Cornelius NC 28031-5638
Phone: (336) 541-5867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | S5125 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 52 | North Carolina |
Profile Details
| NPI number | 1689702243 |
|---|---|
| LBN Legal business name | Mcgill, Mary Jane |
| Credentials | LCMHC-S, LCAS, CCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jun 10th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689702243 | NPPES |
| North Carolina | MEDICAID | 6103046 |
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