Provider Demographics
NPI:1801435946
Name:MCLAUGHLIN, JORDANA (LPC, CRC)
Entity type:Individual
Prefix:
First Name:JORDANA
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 MILLERSTOWN CULMERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TARENTUM
Mailing Address - State:PA
Mailing Address - Zip Code:15084-2505
Mailing Address - Country:US
Mailing Address - Phone:724-970-1610
Mailing Address - Fax:
Practice Address - Street 1:165 MILLERSTOWN CULMERVILLE RD
Practice Address - Street 2:
Practice Address - City:TARENTUM
Practice Address - State:PA
Practice Address - Zip Code:15084-2505
Practice Address - Country:US
Practice Address - Phone:724-970-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-06
Last Update Date:2021-06-07
Deactivation Date:2021-04-28
Deactivation Code:
Reactivation Date:2021-06-07
Provider Licenses
StateLicense IDTaxonomies
PAPC009690101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional