Doctor Name: | MISS LYNDA JEAN MCLAUGHLIN |
NPI Number: | 1528437324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDPT |
License Number: | CO60181708 |
Business Practice Address: | 309 Oak St Kelso, WA - 986262340 |
Business Phone Number: | 3605777442 |
Business Fax Number: | 3605777904 |
Mailing Address: | 309 Oak St, KELSO |
State: | WA |
Postal Code: | 986262340 |
Phone Number: | 3605777442 |
Fax Number: | 3605777904 |
NPI Enumeration Date: | 09/22/2015 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CO60181708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |