Provider Demographics
NPI:1184759060
Name:MCCABE, JUANITA M (MS, LPC, CADC)
Entity type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:M
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MS, LPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-2343
Mailing Address - Country:US
Mailing Address - Phone:715-426-5331
Mailing Address - Fax:
Practice Address - Street 1:516 2ND ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-1551
Practice Address - Country:US
Practice Address - Phone:715-781-5494
Practice Address - Fax:715-426-5331
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1652-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health