Provider Demographics
NPI:1053524546
Name:MCLEOD, CHRISTY N (MFA)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:N
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:MFA
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:N
Other - Last Name:REOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFA
Mailing Address - Street 1:8223 KICKERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-9250
Mailing Address - Country:US
Mailing Address - Phone:360-332-7702
Mailing Address - Fax:
Practice Address - Street 1:609 N SHORE DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4414
Practice Address - Country:US
Practice Address - Phone:360-676-7530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor