| Mary Ann Mcgannon, Lpc, Llc | |
|
1122 Sam Newell Rd Ste 103 Matthews NC 28105-5015 | |
| (803) 431-6103 | |
| Not Available |
| Full Name | Mary Ann Mcgannon, Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1122 Sam Newell Rd, Matthews, North Carolina |
| Authorized Official Name and Position | Mary Ann M. Mcgannon (OWNER) |
| Authorized Official Contact | 8034316103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Mcgannon, Lpc, Llc 770 Petersburg Dr Fort Mill SC 29708-5708 Ph: (803) 431-6103 | Mary Ann Mcgannon, Lpc, Llc 1122 Sam Newell Rd Ste 103 Matthews NC 28105-5015 Ph: (803) 431-6103 |
| NPI Number | 1497086110 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497086110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2816 (North Carolina) | Primary |
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