Provider Demographics
NPI:1265751523
Name:MCNAMARA, ERIN CATHERINE (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:CATHERINE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3244 PINEHURST PL
Mailing Address - Street 2:UNIT A
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3104
Mailing Address - Country:US
Mailing Address - Phone:704-905-9642
Mailing Address - Fax:
Practice Address - Street 1:10101 WAXHAW MANOR DR
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6846
Practice Address - Country:US
Practice Address - Phone:704-290-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7292101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool