Provider Information for 1447837000
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Mr. DAMON REGINALD MCCANN LPC-S, LMFT
Sex: Male
NPI: 1447837000
Last Updated: 2021-03-28
Certification Date: 2021-03-28
Certification Date: 2021-03-28
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447837000 | ||||||||||||
| Enumeration Date | 2021-03-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 411 EISSMAN RD APT 19 LEESVILLE, LA 71446-5483 United States Phone: 985-859-9923 | Fax: | ||||||||||||
| Primary Practice Address | 411 EISSMAN RD APT 19 LEESVILLE, LA 71446-5483 United States Phone: 985-859-9923 | Fax: | ||||||||||||
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