Provider Demographics
NPI:1972903870
Name:MCGINTY, RYAN JACKSON (MS)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:JACKSON
Last Name:MCGINTY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 SR 179 STE 8
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-7986
Mailing Address - Country:US
Mailing Address - Phone:928-301-9456
Mailing Address - Fax:
Practice Address - Street 1:6050 SR 179 STE 8
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-7986
Practice Address - Country:US
Practice Address - Phone:928-301-9456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor