Athena Mccaman, LISW, LICDC

NPI #1891174215 in Mentor, Ohio

Provider Information

NPI Number: 1891174215
Entity Type: Individual
Name: Athena Mccaman, LISW, LICDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW, LICDC
Enumeration Date: May 19, 2015
Last Updated: Oct 18, 2021

Practice Location

Address: 7232 JUSTIN WAY
City: Mentor
State: Ohio
ZIP Code: 44060-4881
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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