Provider Demographics
NPI:1679939524
Name:MCLARRIN, MEGGAN (LPC)
Entity Type:Individual
Prefix:
First Name:MEGGAN
Middle Name:
Last Name:MCLARRIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 PARK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:COOS BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97420-2242
Mailing Address - Country:US
Mailing Address - Phone:541-751-5728
Mailing Address - Fax:541-543-2215
Practice Address - Street 1:375 PARK AVE STE 2
Practice Address - Street 2:
Practice Address - City:COOS BAY
Practice Address - State:OR
Practice Address - Zip Code:97420-2242
Practice Address - Country:US
Practice Address - Phone:541-751-5728
Practice Address - Fax:541-543-2215
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORC4947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health