Provider Demographics
NPI:1467844290
Name:MCCABE, ERINN CATHERINE (LPC)
Entity Type:Individual
Prefix:
First Name:ERINN
Middle Name:CATHERINE
Last Name:MCCABE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S 50TH AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-8647
Mailing Address - Country:US
Mailing Address - Phone:715-842-9500
Mailing Address - Fax:715-848-0425
Practice Address - Street 1:630 S 36TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-3930
Practice Address - Country:US
Practice Address - Phone:715-842-9500
Practice Address - Fax:715-848-0425
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5584-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5584-125OtherPROFESSIONAL COUNSELOR LICENSE