Provider Demographics
NPI:1922259092
Name:MCCABE, TOMSON (MA, LPC)
Entity Type:Individual
Prefix:
First Name:TOMSON
Middle Name:
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23284
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99802-3284
Mailing Address - Country:US
Mailing Address - Phone:907-209-6336
Mailing Address - Fax:888-972-1911
Practice Address - Street 1:1575 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1417
Practice Address - Country:US
Practice Address - Phone:907-209-6336
Practice Address - Fax:888-972-1911
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK865101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional