Doctor Name: | LAKISHA CHARMAINE MCCROREY |
NPI Number: | 1457642100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 203 East St Easthampton, MA - 010271234 |
Business Phone Number: | 4135297777 |
Business Fax Number: | |
Mailing Address: | 34 Nanel Dr, Apt. D GLASTONBURY |
State: | CT |
Postal Code: | 060332254 |
Phone Number: | 8609130575 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2011 |
NPI Last Update Date: | 10/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |