MEDICARE: MEGGAN MCLARRIN LPC

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
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	C4947	OR

General Provider Information

NPI Number	:	1679939524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGGAN MCLARRIN LPC

Provider Business Mailing Address
First Line	:	375 PARK AVE STE 2
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2242
Country	:	US
Telephone Number	:	541-751-5728
Fax Number	:	541-543-2215

Provider Business Practice Location Address
First Line	:	375 PARK AVE STE 2
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2242
Country	:	US
Telephone Number	:	541-751-5728
Fax Number	:	541-543-2215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	10/25/2019

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