NPI | 1356181424 |
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Former Legal Business Name | AMY MCCLUNG, LPC, LMFT, LLC |
Entity Type | Organization |
Authorized Contact | AMY ANN MCCLUNG Owner/Provider 360-600-5877 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-05-28 |
Last Update Date | 2024-05-28 |