=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659737674
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANN LOUISE MACLEAN LMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2016
-----------------------------------------------------
Last Update Date | 12/16/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6869 WOODLAWN AVE NE SUITE #206
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-683-4275
-----------------------------------------------------
Fax | 425-543-5010
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2846 NW 58TH STREET
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98107-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-369-8428
-----------------------------------------------------
Fax | 206-302-2210
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number | CO 60619437
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LH60971029
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------