Provider Demographics
NPI:1437506714
Name:MCKIERNAN, DARRIAN MARISA
Entity Type:Individual
Prefix:MS
First Name:DARRIAN
Middle Name:MARISA
Last Name:MCKIERNAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23804 S 231ST WAY
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-1548
Mailing Address - Country:US
Mailing Address - Phone:702-420-8064
Mailing Address - Fax:702-438-4673
Practice Address - Street 1:23804 S 231ST WAY
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-1548
Practice Address - Country:US
Practice Address - Phone:702-420-8064
Practice Address - Fax:702-438-4673
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist