Provider Demographics
NPI:1255736005
Name:MCENDREE, MARCIE L (LPCC)
Entity type:Individual
Prefix:
First Name:MARCIE
Middle Name:L
Last Name:MCENDREE
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 1:19425 SOLEDAD CANYON RD # 143
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-2632
Mailing Address - Country:US
Mailing Address - Phone:661-755-9817
Mailing Address - Fax:
Practice Address - Street 1:23504 LYONS AVE STE 304
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-5776
Practice Address - Country:US
Practice Address - Phone:661-755-9817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1324101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health