| Doctor Name: | MS. MARY JANE MCGILL |
| NPI Number: | 1689702243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCAS |
| License Number: | 52 |
| Business Practice Address: | 412 Memorial Dr Clover, SC - 297101538 |
| Business Phone Number: | 8032223892 |
| Business Fax Number: | |
| Mailing Address: | 1723 Armstrong Park Dr, GASTONIA |
| State: | NC |
| Postal Code: | 280544802 |
| Phone Number: | 7048549828 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 52 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |