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Mr. Ronald Grant Macdonald JR., LPC,LISAC
Professional Counselor in Page, Arizona
NPI 1871558361

Ronald Grant Macdonald JR. is a Professional Counselor based in Page, AZ and is specialized in Professional. Ronald Grant Macdonald JR. practices in Page, AZ and has the professional credentials of LPC,LISAC. The NPI Number for Ronald Grant Macdonald JR. is 1871558361 and holds a License No. LISAC-0989 (Arizona).

The current practice location address for Ronald Grant Macdonald JR. is 463 S. Lake Powell Blvd, Page, AZ and can be reached out via phone at 928-645-5113 and via fax at 928-645-3254.

Location: 463 S. Lake Powell Blvd, Page, AZ, 86040-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871558361
Provider Name
Ronald Grant Macdonald JR.
Credential
LPC,LISAC
Provider Entity Type
Individual
Gender
Male
Address
463 S. Lake Powell Blvd, Page, AZ, 86040-0790
Phone Number
928-645-5113
Fax Number
928-645-3254
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
832859 05 AZ
institution
Provider Business Practice Location Address Details
Address
463 S. Lake Powell Blvd
City
Page
State
Arizona
Zip
86040-0790
Phone Number
928-645-5113
Fax Number
928-645-3254
person
Provider Business Mailing Address Details
Address
463 S. Lake Powell Blvd
City
Page
State
Arizona
Zip
86040-0790
Phone Number
928-645-5113
Fax Number
928-645-3254
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC-10208 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LISAC-0989 (Arizona)
Definition
Definition to come...
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