Provider Demographics
NPI:1164890612
Name:MCLAUGHLIN, MICHAELA LEIGH (MA)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:LEIGH
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 HERITAGE CIR
Mailing Address - Street 2:#94
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1740
Mailing Address - Country:US
Mailing Address - Phone:651-328-9777
Mailing Address - Fax:
Practice Address - Street 1:1730 HERITAGE CIR
Practice Address - Street 2:#94
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1740
Practice Address - Country:US
Practice Address - Phone:651-328-9777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor