Provider Demographics
NPI:1376325514
Name:MCLAREN, VERONICA JANE (LPC)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:JANE
Last Name:MCLAREN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RONNIE
Other - Middle Name:JANE
Other - Last Name:MCLAREN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:468 MAIN ST APT 9
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-2851
Mailing Address - Country:US
Mailing Address - Phone:281-455-8794
Mailing Address - Fax:
Practice Address - Street 1:1 MACDONOUGH PL
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3607
Practice Address - Country:US
Practice Address - Phone:860-358-8825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health