Mckell, Mary

Mckell, Mary is an individual health care provider with primary practice located at 2300 E 6Th Ave , Flagstaff AZ 86004-4247. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mckell, Mary can be contacted via phone (928) 773-4084.

Contact Information

Primary practice address
2300 E 6Th Ave Flagstaff AZ 86004-4247
Phone: (928) 773-4084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0661 Arizona

Profile Details

NPI number 1104043744
LBN Legal business name Mckell, Mary
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 19 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 1104043744 NPPES
Arizona Other LIC-0661 LIC. PROFE.COUNSDLOR

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