Provider Demographics
NPI:1346335171
Name:MCCREA, ANGELA A (LMHC, MS ED)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:A
Last Name:MCCREA
Suffix:
Gender:F
Credentials:LMHC, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PINNACLE PL
Mailing Address - Street 2:STE 220
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203
Mailing Address - Country:US
Mailing Address - Phone:518-459-6200
Mailing Address - Fax:518-677-1643
Practice Address - Street 1:1182 TROY SCHENECTADY RD STE 204
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-1000
Practice Address - Country:US
Practice Address - Phone:518-400-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health