Provider Demographics
NPI:1962560508
Name:MCCANN, SUZANNE E (LPC, LMFT, LAC)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:E
Last Name:MCCANN
Suffix:
Gender:F
Credentials:LPC, LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 EDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MONTZ
Mailing Address - State:LA
Mailing Address - Zip Code:70068-8967
Mailing Address - Country:US
Mailing Address - Phone:504-939-1314
Mailing Address - Fax:985-287-0003
Practice Address - Street 1:3351 SEVERN AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-7414
Practice Address - Country:US
Practice Address - Phone:504-939-1314
Practice Address - Fax:985-287-0003
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3330101YM0800X
LA1058106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAH6521OtherBLUE CROSS