Provider Demographics
NPI:1952164816
Name:MCNEIL, MEGAN PAULY (LPCC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:PAULY
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4770 BASELINE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2668
Mailing Address - Country:US
Mailing Address - Phone:720-432-6449
Mailing Address - Fax:
Practice Address - Street 1:4770 BASELINE RD STE 200
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2668
Practice Address - Country:US
Practice Address - Phone:720-432-6449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020650101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health