Provider Demographics
NPI:1215032032
Name:MCQUAIN, TREVOR (MA, LPC)
Entity Type:Individual
Prefix:
First Name:TREVOR
Middle Name:
Last Name:MCQUAIN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 OXFORD LANE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-347-2120
Mailing Address - Fax:970-353-3906
Practice Address - Street 1:4025 SAINT CLOUD DRIVE
Practice Address - Street 2:SUITE 230
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538
Practice Address - Country:US
Practice Address - Phone:970-449-3559
Practice Address - Fax:970-353-3906
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CO4602101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health