Doctor Name: | JAMES MACKEY |
NPI Number: | 1043434194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, NCC |
License Number: | 2991 |
Business Practice Address: | 17282 County Road 32 Sterling, CO - 807519420 |
Business Phone Number: | 9705225775 |
Business Fax Number: | 9705225983 |
Mailing Address: | 17282 County Road 32, STERLING |
State: | CO |
Postal Code: | 807519420 |
Phone Number: | 9705225775 |
Fax Number: | 9705225983 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2991 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |