Provider Demographics
NPI:1851043137
Name:MCGUIRE, MICHAEL W (LPC-T)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:W
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:LPC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 N 6TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-2440
Mailing Address - Country:US
Mailing Address - Phone:913-674-0057
Mailing Address - Fax:913-674-5349
Practice Address - Street 1:104 N 6TH ST STE 7
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2440
Practice Address - Country:US
Practice Address - Phone:913-674-0057
Practice Address - Fax:913-674-5349
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional