Mccann, Stacy M

Mccann, Stacy M is an individual health care provider with primary practice located at 1324 Troy Rd Ste G , Edwardsville IL 62025-2366. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mccann, Stacy M can be contacted via phone (586) 713-8696.

Contact Information

Primary practice address
1324 Troy Rd Ste G Edwardsville IL 62025-2366
Phone: (586) 713-8696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2013042874 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2013033734 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149024521 Illinois

Profile Details

NPI number 1558646323
LBN Legal business name Mccann, Stacy M
Credentials LCSW, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2011
Last updated Jan 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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