MEDICARE: BILLIE FRANCINE MCCANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		AK

General Provider Information

NPI Number	:	1992370902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILLIE FRANCINE MCCANN

Provider Business Mailing Address
First Line	:	PO BOX 874686
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99687-4686
Country	:	US
Telephone Number	:	907-203-0507
Fax Number	:

Provider Business Practice Location Address
First Line	:	3761 N HILLTOP DRIVE
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99623-9962
Country	:	US
Telephone Number	:	907-203-0507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	05/21/2021

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Directions to “ BILLIE FRANCINE MCCANN ” Practice Location

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