Samantha McLean, QMHA
Counselor, Mental Health in Grants Pass, OR. Individual provider (NPI-1).
NPI number1114683059
StatusActive
Last updated in NPPESNov 15, 2021
Details
- NPI
- 1114683059
- Entity type
- Individual (NPI-1)
- Name
- Samantha McLean
- Credential
- QMHA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2021
- Certification date
- Nov 15, 2021
- Last updated
- Nov 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1545 Harbeck RdGrants Pass, OR 97527-5605
Phone 541-476-2373
Mailing address
Po Box 1383Grants Pass, OR 97528-0115
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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