Individual
JUSTIN CARL MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC, ARNP
Contact information
Practice address
202 N DIVISION ST STE 200, AUBURN, WA 98001-4939
(253) 697-8400
Mailing address
202 N DIVISION ST STE 200, AUBURN, WA 98001-4939
(253) 697-8400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP 60423917
WA
Other
Enumeration date
01/22/2014
Last updated
07/15/2015
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