Individual
LAURA MACKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LPC
Contact information
Practice address
224 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3904
(757) 819-6126
(757) 819-6292
Mailing address
2301 WATERS EDGE LN, SUFFOLK, VA 23435-2860
(801) 971-2008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004415
NY
101YM0800X
Mental Health Counselor
Primary
0701006633
VA
101YM0800X
Mental Health Counselor
7133302-6004
UT
Other
Enumeration date
08/30/2016
Last updated
03/23/2017
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