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NPI Code Detail

MEDICARE: CRAIG ALAN MCCLUNG M.ED., AAC

MEDICARE: CRAIG ALAN MCCLUNG M.ED., AAC
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 CounselorCG60137322WA
2101Y00000XCounselorCG60137322WA

General Provider Information

NPI Number : 1205998408
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG ALAN MCCLUNG M.ED., AAC
Provider Business Mailing Address
First Line : 1600 E OLIVE ST
Second Line : SEATTLE MENTAL HEALTH
City : SEATTLE
State : WA
Zip : 98122-2735
Country : US
Telephone Number : 206-302-2200
Fax Number : 206-302-2210
Provider Business Practice Location Address
First Line : 122 16TH AVE E
Second Line : CAPITOL HILL NORTH
City : SEATTLE
State : WA
Zip : 98112-5212
Country : US
Telephone Number : 206-302-2200
Fax Number : 206-302-2710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 06/18/2013

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