Healthcare Provider Details
I. General information
NPI: 1881051647
Provider Name (Legal Business Name): ERIN MCGINTY JAMES LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/25/2016
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27 GRAND CANYON DRIVE
WHITE ROCK NM
87547
US
IV. Provider business mailing address
27 GRAND CANYON DRIVE
WHITE ROCK NM
87547
US
V. Phone/Fax
- Phone: 505-370-4296
- Fax:
- Phone: 505-370-4296
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: