Provider Demographics
NPI:1164092813
Name:MCCLANAHAN, MAEGAN (LMFTA, LMHCA)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:
Last Name:MCCLANAHAN
Suffix:
Gender:F
Credentials:LMFTA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 S SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-6257
Mailing Address - Country:US
Mailing Address - Phone:509-566-5480
Mailing Address - Fax:
Practice Address - Street 1:4208 S SCOTT ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-6257
Practice Address - Country:US
Practice Address - Phone:509-566-5480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60878616101YM0800X
WAMG60878719106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health