Provider Demographics
NPI:1831501139
Name:MCCASLAND, PEGGYANNE X (AFFILIATED COUNSELOR)
Entity Type:Individual
Prefix:MISS
First Name:PEGGYANNE
Middle Name:
Last Name:MCCASLAND
Suffix:X
Gender:F
Credentials:AFFILIATED COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10710 MUKILTEO SPEEDWAY
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-5021
Mailing Address - Country:US
Mailing Address - Phone:425-349-8888
Mailing Address - Fax:425-493-8346
Practice Address - Street 1:10710 MUKILTEO SPEEDWAY
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-5021
Practice Address - Country:US
Practice Address - Phone:425-349-8888
Practice Address - Fax:425-493-8346
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health