Provider Demographics
NPI:1134349129
Name:MCLAUGHLIN, JUDY DANIELS (LPC NCC)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:DANIELS
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 EDGEWATER RD
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-8661
Mailing Address - Country:US
Mailing Address - Phone:828-495-8817
Mailing Address - Fax:
Practice Address - Street 1:123 N CENTER ST
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2119
Practice Address - Country:US
Practice Address - Phone:828-635-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC923101Y00000X, 101YP2500X
NC534101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)