Provider Demographics
NPI:1790117505
Name:MCCREE, LAQUANDRA M (IMFT)
Entity Type:Individual
Prefix:MS
First Name:LAQUANDRA
Middle Name:M
Last Name:MCCREE
Suffix:
Gender:F
Credentials:IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21828 AVALON BLVD
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-3303
Mailing Address - Country:US
Mailing Address - Phone:424-477-5225
Mailing Address - Fax:424-477-5146
Practice Address - Street 1:21828 AVALON BLVD
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-3303
Practice Address - Country:US
Practice Address - Phone:424-477-5225
Practice Address - Fax:424-477-5146
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional