Provider Demographics
NPI:1437661675
Name:MCLIN, MICHAEL KEVIN (LGPC, NCC HHS, MA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:KEVIN
Last Name:MCLIN
Suffix:
Gender:M
Credentials:LGPC, NCC HHS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 ARENA DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-3701
Mailing Address - Country:US
Mailing Address - Phone:301-995-9812
Mailing Address - Fax:
Practice Address - Street 1:9500 ARENA DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-3701
Practice Address - Country:US
Practice Address - Phone:301-995-9812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor