Provider Demographics
NPI:1386317287
Name:MJOANMCCLOSKEY,LMFT
Entity type:Organization
Organization Name:MJOANMCCLOSKEY,LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:MCCLOSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-837-6970
Mailing Address - Street 1:25255 CABOT RD STE 228
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5529
Mailing Address - Country:US
Mailing Address - Phone:949-837-6970
Mailing Address - Fax:
Practice Address - Street 1:25255 CABOT RD STE 228
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5529
Practice Address - Country:US
Practice Address - Phone:949-837-6970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty