Individual
ALISHA RAE MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
17100 SILVER PKWY STE D, FENTON, MI 48430-3468
(810) 208-0378
(810) 963-1917
Mailing address
6322 E HORSESHOE TRL, LINDEN, MI 48451-8939
(810) 922-1808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
6801096916
MI
1041C0700X
Clinical Social Worker
6801096916
MI
1041C0700X
Clinical Social Worker
Primary
6801098084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
MI
Enumeration date
09/09/2010
Last updated
12/12/2024
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