Provider Demographics
NPI:1700339827
Name:MCCREA, STEPHEN II (LMHC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:MCCREA
Suffix:II
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 6TH AVE # 3
Mailing Address - Street 2:
Mailing Address - City:FOX ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98333-9740
Mailing Address - Country:US
Mailing Address - Phone:360-929-1282
Mailing Address - Fax:
Practice Address - Street 1:407 SCARBOROUGH ST
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-6769
Practice Address - Country:US
Practice Address - Phone:360-929-1282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61207481101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health