Healthcare Provider Details

I. General information

NPI: 1467079160
Provider Name (Legal Business Name): ABBE MCCLENAHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2020
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W 2ND ST
WHITEFISH MT
59937-3006
US

IV. Provider business mailing address

PO BOX 9331
LAGUNA BEACH CA
92652-7318
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-9806
  • Fax: 949-269-6452
Mailing address:
  • Phone: 949-246-2822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-55017
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number119621
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: