Megan C Mackura, LPCC-S, MFT
Counselor, Professional in Chardon, OH. Individual provider (NPI-1).
NPI number1982007167
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1982007167
- Entity type
- Individual (NPI-1)
- Name
- Megan C Mackura
- Credential
- LPCC-S, MFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2014
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E.1600104-SUPV | OH | Yes |
| 106H00000X | Marriage & Family Therapist | M.1500003 | OH |
Other names
- Megan C Henthorn (Former Name)
Practice location
12557 Ravenwood DrChardon, OH 44024-9009
Phone 440-285-3568 · Fax 440-285-4552
Mailing address
12557 Ravenwood DrChardon, OH 44024-9009
Phone 440-285-3568
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