| Doctor Name: | MR. THEODORE MCCADDEN |
| NPI Number: | 1467597179 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCADC, CPP |
| License Number: | LCA410 |
| Business Practice Address: | 10151 York Rd Suite 102 Cockeysville, MD - 210303314 |
| Business Phone Number: | 4108877671 |
| Business Fax Number: | 4108877602 |
| Mailing Address: | 32 W Pennsylvania Ave, STEWARTSTOWN |
| State: | PA |
| Postal Code: | 173634090 |
| Phone Number: | 7179939391 |
| Fax Number: | 7179939391 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LCA410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| 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 |