Provider Demographics
NPI:1376838805
Name:DANN-MCNAMEE, MARY (LMFT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:DANN-MCNAMEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:DANN MCNAMEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1340 E ROUTE 66 STE 108
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-3783
Mailing Address - Country:US
Mailing Address - Phone:626-863-3393
Mailing Address - Fax:909-599-7567
Practice Address - Street 1:1340 E ROUTE 66 STE 108
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-3783
Practice Address - Country:US
Practice Address - Phone:626-863-3393
Practice Address - Fax:909-599-7567
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66760106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist