Doctor Name: | MRS. JILL ELLIS MCMAHON |
NPI Number: | 1003250275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | LPC-14036 |
Business Practice Address: | 9375 E Shea Blvd Scottsdale, AZ - 852606991 |
Business Phone Number: | 4802149570 |
Business Fax Number: | |
Mailing Address: | 9375 E Shea Blvd, SCOTTSDALE |
State: | AZ |
Postal Code: | 852606991 |
Phone Number: | 4802149570 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC-14036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |