Provider Demographics
NPI:1871845834
Name:MCLEAN, ROBERT STUART (MA, LCMHCS, NCC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:STUART
Last Name:MCLEAN
Suffix:
Gender:M
Credentials:MA, LCMHCS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 KENTUCKY BLVD
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-2016
Mailing Address - Country:US
Mailing Address - Phone:704-301-8981
Mailing Address - Fax:
Practice Address - Street 1:700 KENTUCKY BLVD
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-2016
Practice Address - Country:US
Practice Address - Phone:704-301-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY290573101YP2500X
NC9428101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional