Provider Demographics
NPI:1134698897
Name:MCGHEE, JOANNE ONQUE (CPC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:ONQUE
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HIGH ST APT N2
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2450
Mailing Address - Country:US
Mailing Address - Phone:973-650-6770
Mailing Address - Fax:
Practice Address - Street 1:9 HIGH STREET #N2
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2450
Practice Address - Country:US
Practice Address - Phone:973-650-6770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-23
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician