| Doctor Name: | MR. STEPHEN CRAIG MCCANN |
| NPI Number: | 1184750044 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, LMFT, LAC |
| License Number: | LPC 2389 |
| Business Practice Address: | 7330 Fern Avenue Suite 602 Shreveport, LA - 71105 |
| Business Phone Number: | 3186290152 |
| Business Fax Number: | 3186290157 |
| Mailing Address: | 7330 Fern Avenue, Suite 602 SHREVEPORT |
| State: | LA |
| Postal Code: | 71105 |
| Phone Number: | 3186290152 |
| Fax Number: | 3186290157 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC 2389 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |