Provider Demographics
NPI:1437703980
Name:MCNEISH, ERIC (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:MCNEISH
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18436-3462
Mailing Address - Country:US
Mailing Address - Phone:570-634-5526
Mailing Address - Fax:
Practice Address - Street 1:331 LAUREL DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON TWP
Practice Address - State:PA
Practice Address - Zip Code:18436-3462
Practice Address - Country:US
Practice Address - Phone:570-634-5526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-01
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA685216101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health