Provider Demographics
NPI:1235904723
Name:MCQUADE, ALLISON (AMFT, APCC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MCQUADE
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100B N TUSTIN AVE STE D
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3505
Mailing Address - Country:US
Mailing Address - Phone:909-979-3722
Mailing Address - Fax:
Practice Address - Street 1:1100B N TUSTIN AVE STE D
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3505
Practice Address - Country:US
Practice Address - Phone:909-979-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health