Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | BH001835 | PA |
Y | 101YP2500X | Professional Counselor | PC010874 | PA |
NPI | 1003360751 |
---|---|
Provider Name | Taisa Mccain |
First Address | York, PA 17402-9282 |
Second Address | Lancaster, PA 17601-3868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2016 |
Last Update Date | 04/06/2020 |