Doctor Name: | MS. JUANITA M MCCABE |
NPI Number: | 1184759060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, CADC |
License Number: | 1652-125 |
Business Practice Address: | 1477 S Knowles Ave Ste 103 New Richmond, WI - 540172543 |
Business Phone Number: | 7157815494 |
Business Fax Number: | 7152467613 |
Mailing Address: | 308 E Division St, RIVER FALLS |
State: | WI |
Postal Code: | 540222343 |
Phone Number: | 7154265331 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1652-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |