Mcclung, Lawrance H

Mcclung, Lawrance H is an individual health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3713. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mcclung, Lawrance H can be contacted via phone (360) 558-5728.

Contact Information

Primary practice address
1601 E Fourth Plain Blvd Vancouver WA 98661-3713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61173433 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5199106-3501 Utah

Profile Details

NPI number 1366426132
LBN Legal business name Mcclung, Lawrance H
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366426132 NPPES
Utah Other 107035228101 U006
Utah Other 51991063500001 U006
Utah Other 885125 U006
Utah Other 942938348MCM U006

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