Provider Demographics
NPI:1265849319
Name:MASCHAUER, EMILY LEE (LPCA)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:LEE
Last Name:MASCHAUER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TRAPPERS RUN DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4987
Mailing Address - Country:US
Mailing Address - Phone:919-818-8172
Mailing Address - Fax:
Practice Address - Street 1:100 PROFESSIONAL CT
Practice Address - Street 2:SUITE 104
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7971
Practice Address - Country:US
Practice Address - Phone:919-818-8172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8304101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional