Provider Demographics
NPI:1750710216
Name:MCLAUGHLIN, JESSICA (LPC-MH 2291)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LPC-MH 2291
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-2003
Mailing Address - Country:US
Mailing Address - Phone:605-360-2870
Mailing Address - Fax:
Practice Address - Street 1:418 4TH ST
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-2003
Practice Address - Country:US
Practice Address - Phone:605-360-2870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7277101YP2500X
SDLPCMH2291101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional