Provider Demographics
NPI:1205500493
Name:MCLAUGHLIN, EUGENE III (LADC, CCS)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:MCLAUGHLIN
Suffix:III
Gender:M
Credentials:LADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-2212
Mailing Address - Country:US
Mailing Address - Phone:207-934-5231
Mailing Address - Fax:
Practice Address - Street 1:28 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OLD ORCHARD BEACH
Practice Address - State:ME
Practice Address - Zip Code:04064-2212
Practice Address - Country:US
Practice Address - Phone:207-934-5231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC8236101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor