Provider Demographics
NPI:1578149779
Name:MCCANTS, JUNE (LBC)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:
Last Name:MCCANTS
Suffix:
Gender:F
Credentials:LBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1704
Mailing Address - Country:US
Mailing Address - Phone:484-478-2374
Mailing Address - Fax:
Practice Address - Street 1:208 CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1704
Practice Address - Country:US
Practice Address - Phone:484-478-2374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH004736106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician