Provider Demographics
NPI:1619287430
Name:MCCARTHY, MARCHELE C (MA)
Entity Type:Individual
Prefix:
First Name:MARCHELE
Middle Name:C
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARCHELE
Other - Middle Name:C
Other - Last Name:MCENTEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81602-0040
Mailing Address - Country:US
Mailing Address - Phone:970-945-2241
Mailing Address - Fax:970-945-5523
Practice Address - Street 1:407 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-879-2141
Practice Address - Fax:970-879-7912
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health