Provider Demographics
NPI:1316297922
Name:MCCLAUGHERTY, ANNA E (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:E
Last Name:MCCLAUGHERTY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 N CENTER ST STE 203
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-4184
Mailing Address - Country:US
Mailing Address - Phone:928-607-2549
Mailing Address - Fax:
Practice Address - Street 1:1823 N CENTER ST STE 203
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-4184
Practice Address - Country:US
Practice Address - Phone:928-607-2549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18604101Y00000X
NC9560101YM0800X
AZLPC-18604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor