Provider Demographics
NPI:1255116687
Name:MCLEAN, JOHN (LPC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:MCLEAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9921 S 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-8873
Mailing Address - Country:US
Mailing Address - Phone:623-521-4888
Mailing Address - Fax:
Practice Address - Street 1:1745 S ALMA SCHOOL RD STE 230
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3013
Practice Address - Country:US
Practice Address - Phone:480-668-8301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health