Provider Demographics
NPI:1356120323
Name:MCLEAN, PATRICIA ANNA (MS, LMFT, LPC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANNA
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:MS, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W REPUBLIC RD STE A116
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5805
Mailing Address - Country:US
Mailing Address - Phone:417-324-5257
Mailing Address - Fax:
Practice Address - Street 1:600 W REPUBLIC RD STE A116
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5805
Practice Address - Country:US
Practice Address - Phone:417-324-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003018541101YP2500X
MO2005007365106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional