Provider Demographics
NPI:1164778601
Name:MCCANN, DEMETRIA J (LPC)
Entity Type:Individual
Prefix:
First Name:DEMETRIA
Middle Name:J
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:205 E UNIVERSITY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6814
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2120 N MAYS ST
Practice Address - Street 2:SUITE 490
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-341-8908
Practice Address - Fax:512-255-8521
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2021-03-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional