Doctor Name: | MS. MARY A MCCARTHY |
NPI Number: | 1073601662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 489 |
Business Practice Address: | 230 E Marydale Ave Suite 2 Soldotna, AK - 996697648 |
Business Phone Number: | 9072603691 |
Business Fax Number: | 9072603697 |
Mailing Address: | Po Box 2949, SOLDOTNA |
State: | AK |
Postal Code: | 996692949 |
Phone Number: | 9072607300 |
Fax Number: | 9072607301 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 489 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |