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NPI Code Detail

MEDICARE: AIDAN MCLAREN BA, R-AAC

MEDICARE: AIDAN MCLAREN BA, R-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
1175T00000XPeer SpecialistWA
2101Y00000XCounselorCG61518852WA

General Provider Information

NPI Number : 1417709361
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIDAN MCLAREN BA, R-AAC
Provider Business Mailing Address
First Line : PO BOX 2394
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-8455
Country : US
Telephone Number : 360-200-5419
Fax Number : 844-612-6673
Provider Business Practice Location Address
First Line : 1340 12TH AVE STE 100
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-3820
Country : US
Telephone Number : 360-998-2047
Fax Number : 844-612-6673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2024
Last Update Date : 07/30/2025

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Directions to “ AIDAN MCLAREN BA, R-AAC” Practice Location

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