Provider Demographics
NPI:1386368140
Name:MCLEAN, ELLIAUNA RENE (LMHCA)
Entity type:Individual
Prefix:
First Name:ELLIAUNA
Middle Name:RENE
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2153
Mailing Address - Country:US
Mailing Address - Phone:425-501-0522
Mailing Address - Fax:
Practice Address - Street 1:1806 CEDAR ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2153
Practice Address - Country:US
Practice Address - Phone:425-501-0522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61357858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health