Provider Demographics
NPI:1275665168
Name:MCQUAID, CESRE JEAN (LPC LCMHC NCC)
Entity Type:Individual
Prefix:MRS
First Name:CESRE
Middle Name:JEAN
Last Name:MCQUAID
Suffix:
Gender:F
Credentials:LPC LCMHC NCC
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 1777
Mailing Address - Street 2:
Mailing Address - City:HAINES
Mailing Address - State:AK
Mailing Address - Zip Code:99827-1777
Mailing Address - Country:US
Mailing Address - Phone:907-766-3600
Mailing Address - Fax:
Practice Address - Street 1:1 THEATER DRIVE
Practice Address - Street 2:OFFICE B
Practice Address - City:HAINES
Practice Address - State:AK
Practice Address - Zip Code:99827
Practice Address - Country:US
Practice Address - Phone:907-766-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8532101YP2500X
NC14493101YP2500X
MI6401008535101YP2500X
AK143614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional