Provider Demographics
NPI:1346953312
Name:MCLAUGHLIN, ANDREA L (M ED)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:L
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 TANGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-4168
Mailing Address - Country:US
Mailing Address - Phone:253-350-7664
Mailing Address - Fax:
Practice Address - Street 1:3116 TANGLEWOOD LN
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4168
Practice Address - Country:US
Practice Address - Phone:253-350-7664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61360843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health