Provider Demographics
NPI:1659737674
Name:MACLEAN, ANN LOUISE (LMHC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE
Last Name:MACLEAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2846 NW 58TH STREET
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2504
Mailing Address - Country:US
Mailing Address - Phone:206-369-8428
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:6869 WOODLAWN AVE NE
Practice Address - Street 2:SUITE #206
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115
Practice Address - Country:US
Practice Address - Phone:206-683-4275
Practice Address - Fax:425-543-5010
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WACO 60619437390200000X
WALH60971029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program