Provider Demographics
NPI:1265841027
Name:ONEIL, MARY CATHERINE (LPC)
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:CATHERINE
Last Name:ONEIL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 SOUTH MACDONALD STREET
Mailing Address - Street 2:A&B
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210
Mailing Address - Country:US
Mailing Address - Phone:480-969-1471
Mailing Address - Fax:480-264-0687
Practice Address - Street 1:32 S MACDONALD
Practice Address - Street 2:SUITES AAND B
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-1310
Practice Address - Country:US
Practice Address - Phone:480-969-1471
Practice Address - Fax:480-264-0687
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13339101Y00000X
AZ17078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor