| Doctor Name: | MARY MCKELL |
| NPI Number: | 1104043744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D. |
| License Number: | 0661 |
| Business Practice Address: | 2300 E 6th Ave Flagstaff, AZ - 860044247 |
| Business Phone Number: | 9287734084 |
| Business Fax Number: | |
| Mailing Address: | 111 E Oak Ave Apt 4, FLAGSTAFF |
| State: | AZ |
| Postal Code: | 860011447 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |