Provider Demographics
NPI:1760138218
Name:MUNTEAN, MEGAN LORRAINE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LORRAINE
Last Name:MUNTEAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 JEWELL ST
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-7333
Mailing Address - Country:US
Mailing Address - Phone:253-218-5956
Mailing Address - Fax:
Practice Address - Street 1:415 JEWELL ST
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-7333
Practice Address - Country:US
Practice Address - Phone:253-218-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61262899101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health