Provider Demographics
NPI:1285841791
Name:MCHALE, JUDITH KEENAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:KEENAN
Last Name:MCHALE
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 1:9286 W IRMA LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-5219
Mailing Address - Country:US
Mailing Address - Phone:602-448-3031
Mailing Address - Fax:
Practice Address - Street 1:4500 N 32ND ST
Practice Address - Street 2:SUITE 100-D
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3396
Practice Address - Country:US
Practice Address - Phone:602-540-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-2086101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor