Provider Demographics
NPI:1548569122
Name:MCCLOSKEY, MARGARET JOAN (MFCC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JOAN
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25283 CABOT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5510
Mailing Address - Country:US
Mailing Address - Phone:949-837-6970
Mailing Address - Fax:949-425-9298
Practice Address - Street 1:25283 CABOT RD STE 201
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5510
Practice Address - Country:US
Practice Address - Phone:949-837-6970
Practice Address - Fax:949-425-9298
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMS 022594106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist