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NPI Code Detail

MEDICARE: MCLAIN COUNSELING LLC

MEDICARE: MCLAIN COUNSELING LLC
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
1106H00000XMarriage & Family TherapistMFT001391GA

General Provider Information

NPI Number : 1831682038
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLAIN COUNSELING LLC
Provider Business Mailing Address
First Line : 224 REGAL DR
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30046-4771
Country : US
Telephone Number : 678-906-9782
Fax Number :
Provider Business Practice Location Address
First Line : 1089 BUFORD HWY
Second Line :
City : SUGAR HILL
State : GA
Zip : 30518-4820
Country : US
Telephone Number : 678-906-9782
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JOHN M MCLAIN
Credential : LMFT
Telephone Number : 678-906-9782
Provider Enumeration Date : 06/12/2018
Last Update Date : 06/12/2018

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Directions to “MCLAIN COUNSELING LLC ” Practice Location

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