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NPI Code Detail

MEDICARE: MEAGAN MCKAY BA (HONS), MSC, MA

MEDICARE: MEAGAN MCKAY BA (HONS), MSC, MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist149639CA
2101YM0800XMental Health Counselor17708CA

General Provider Information

NPI Number : 1568317626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN MCKAY BA (HONS), MSC, MA
Provider Business Mailing Address
First Line : 1002 PICO BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-1416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1002 PICO BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-1416
Country : US
Telephone Number : 310-314-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/05/2026

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