Provider Demographics
NPI:1669969358
Name:MCLEAN, NAKITTA (LCPC; LCADC-S)
Entity type:Individual
Prefix:MRS
First Name:NAKITTA
Middle Name:
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:LCPC; LCADC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 MARSUE DR APT T1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1245
Mailing Address - Country:US
Mailing Address - Phone:443-983-8436
Mailing Address - Fax:
Practice Address - Street 1:6900 MARSUE DR APT T1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-1245
Practice Address - Country:US
Practice Address - Phone:443-983-8436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health