Provider Demographics
NPI:1265648117
Name:MCLEAN, JENNIFER M (MA, CRC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:M
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:MA, CRC
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Other - Credentials:
Mailing Address - Street 1:21 KENMAR DR
Mailing Address - Street 2:APT #34
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-6715
Mailing Address - Country:US
Mailing Address - Phone:978-509-3699
Mailing Address - Fax:
Practice Address - Street 1:77 E MERRIMACK ST
Practice Address - Street 2:UNIT 1
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1251
Practice Address - Country:US
Practice Address - Phone:978-453-6800
Practice Address - Fax:978-453-6767
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-11-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health