Provider Demographics
NPI:1992123160
Name:MCLEAN, ALYSSA (LPCC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12054 MOORPARK ST APT 1
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-1733
Mailing Address - Country:US
Mailing Address - Phone:818-732-0375
Mailing Address - Fax:
Practice Address - Street 1:12054 MOORPARK ST APT 1
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1733
Practice Address - Country:US
Practice Address - Phone:818-732-0375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008904101YP2500X
CA14220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional