Provider Demographics
NPI:1235863366
Name:MCNARY, MARK PATRICK (LPCC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:PATRICK
Last Name:MCNARY
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7914 SAXEBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9261
Mailing Address - Country:US
Mailing Address - Phone:619-865-2818
Mailing Address - Fax:
Practice Address - Street 1:7914 SAXEBOROUGH DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-9261
Practice Address - Country:US
Practice Address - Phone:619-865-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018835101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health