Provider Demographics
NPI:1134942956
Name:MCCASKILL, MARIA ELIZABETH (LPC/MHSP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:MCCASKILL
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:ELIZABETH
Other - Last Name:GENDUSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC/MHSP
Mailing Address - Street 1:59 MURRAY GUARD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3610
Mailing Address - Country:US
Mailing Address - Phone:731-207-0584
Mailing Address - Fax:
Practice Address - Street 1:59 MURRAY GUARD DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3610
Practice Address - Country:US
Practice Address - Phone:731-207-0584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7266101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor