Provider Demographics
NPI:1285831867
Name:MCLAUGHLIN, BRIAN VINCENT (MS, NCC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:VINCENT
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2542 NE COURTNEY DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7685
Mailing Address - Country:US
Mailing Address - Phone:541-706-2768
Mailing Address - Fax:
Practice Address - Street 1:2542 NE COURTNEY DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7685
Practice Address - Country:US
Practice Address - Phone:541-706-2768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health