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NPI Code Detail

MEDICARE: KATHRYN MCLAUGHLIN, LLC

MEDICARE: KATHRYN MCLAUGHLIN, LLC
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 : 1801582077
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATHRYN MCLAUGHLIN, LLC
Provider Business Mailing Address
First Line : 613 AIRPORT NORTH OFFICE PARK
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-6706
Country : US
Telephone Number : 574-596-7636
Fax Number :
Provider Business Practice Location Address
First Line : 613 AIRPORT NORTH OFFICE PARK
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-6706
Country : US
Telephone Number : 574-596-7636
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATHRYN MCLAUGHLIN
Credential :
Telephone Number : 574-596-7636
Provider Enumeration Date : 04/12/2023
Last Update Date : 04/12/2023

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Directions to “KATHRYN MCLAUGHLIN, LLC ” Practice Location

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