Provider Demographics
NPI:1710296108
Name:MCCANN, KARA MELANIE (LMFT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:MELANIE
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:MELANIE
Other - Last Name:HASSAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30131 TOWN CENTER DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2034
Mailing Address - Country:US
Mailing Address - Phone:949-636-4112
Mailing Address - Fax:949-495-7686
Practice Address - Street 1:30131 TOWN CENTER DR
Practice Address - Street 2:SUITE 280
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-2034
Practice Address - Country:US
Practice Address - Phone:949-636-4112
Practice Address - Fax:949-495-7686
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45514106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist