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NPI Code Detail

MEDICARE: KIRSTY MCLAREN

MEDICARE: KIRSTY MCLAREN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1043568710
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTY MCLAREN
Provider Business Mailing Address
First Line : 6771 S 900 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1436
Country : US
Telephone Number : 801-386-9799
Fax Number :
Provider Business Practice Location Address
First Line : 6771 S 900 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1436
Country : US
Telephone Number : 801-386-9799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 06/13/2019

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Directions to “ KIRSTY MCLAREN ” Practice Location

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