Organization
MCCAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE MCCAIN PHD, LPC, MA, LLP (PRESIDENT/CEO)
(313) 952-1963
Entity
Organization
Contact information
Practice address
2141 E JEFFERSON AVE STE LL1, DETROIT, MI 48207-4128
(313) 952-1963
(313) 331-9566
Mailing address
2141 E JEFFERSON AVE STE LL1, DETROIT, MI 48207-4128
(313) 952-1963
(313) 331-9566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401002550
MI
101YP2500X
Professional Counselor
6401002550
MI
102L00000X
Psychoanalyst
6301008988
MI
103T00000X
Psychologist
6301008988
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301008988
MI
103TA0700X
Adult Development & Aging Psychologist
6301008988
MI
103TC0700X
Clinical Psychologist
Primary
6301008988
MI
103TC1900X
Counseling Psychologist
6301008988
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6401002550
MI
103TF0000X
Family Psychologist
6301008988
MI
103TF0200X
Forensic Psychologist
6301008988
MI
103TH0100X
Health Service Psychologist
6301008988
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301008988
MI
103TP0814X
Psychoanalysis Psychologist
6301008988
MI
106H00000X
Marriage & Family Therapist
6301008988
MI
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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