Provider Demographics
NPI:1407281942
Name:MCLEAN, CATHY B (MS, LMFT, RN)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:B
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:MS, LMFT, RN
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:BAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT, RN
Mailing Address - Street 1:707 W H SMITH BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-758-6080
Mailing Address - Fax:252-758-0009
Practice Address - Street 1:707 W H SMITH BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-758-6080
Practice Address - Fax:252-758-0009
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLMFT-809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional