Provider Demographics
NPI:1558454140
Name:MCGARY, DARLENE (HS)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:
Last Name:MCGARY
Suffix:
Gender:F
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CHARLESTON AVE
Mailing Address - Street 2:
Mailing Address - City:MATTOON
Mailing Address - State:IL
Mailing Address - Zip Code:61938-4016
Mailing Address - Country:US
Mailing Address - Phone:217-234-6405
Mailing Address - Fax:217-258-6136
Practice Address - Street 1:1300 CHARLESTON AVENUE
Practice Address - Street 2:
Practice Address - City:MATTOON
Practice Address - State:IL
Practice Address - Zip Code:61938
Practice Address - Country:US
Practice Address - Phone:217-234-6405
Practice Address - Fax:217-258-6136
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor