Doctor Name: | MEGAN MCLEARON |
NPI Number: | 1114349206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, NCC |
License Number: | 6401012500 |
Business Practice Address: | 215 Parkdale Ave Suite C Manistee, MI - 496601129 |
Business Phone Number: | 2319072412 |
Business Fax Number: | 8778251865 |
Mailing Address: | 215 Parkdale Ave, Suite C MANISTEE |
State: | MI |
Postal Code: | 496601129 |
Phone Number: | 2319072412 |
Fax Number: | 8778251865 |
NPI Enumeration Date: | 01/09/2014 |
NPI Last Update Date: | 01/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401012500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |