Provider Demographics
NPI:1982861480
Name:MCHAN, ANNETTE KING (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:KING
Last Name:MCHAN
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 1:409 6TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-4028
Mailing Address - Country:US
Mailing Address - Phone:256-734-2006
Mailing Address - Fax:256-734-7574
Practice Address - Street 1:409 6TH AVE SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-4028
Practice Address - Country:US
Practice Address - Phone:256-734-2006
Practice Address - Fax:256-734-7574
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL946101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor