Provider Demographics
NPI:1710363502
Name:MCGEE, DANA LEA (LAC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LEA
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21300 N JOHN WAYNE PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-8964
Mailing Address - Country:US
Mailing Address - Phone:480-524-2699
Mailing Address - Fax:888-315-9032
Practice Address - Street 1:21300 N JOHN WAYNE PKWY STE 103
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-8964
Practice Address - Country:US
Practice Address - Phone:480-524-2699
Practice Address - Fax:888-315-9032
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-17720101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health