Provider Demographics
NPI:1477831832
Name:MCLAIN, JOHN M (LMFT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:MCLAIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 EDINBURGH PL
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-9667
Mailing Address - Country:US
Mailing Address - Phone:864-706-6383
Mailing Address - Fax:
Practice Address - Street 1:108 EDINBURGH PL
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369-9667
Practice Address - Country:US
Practice Address - Phone:864-706-6383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist