Provider Demographics
NPI:1366075376
Name:MCLERRAN, KERI LYNN (MA, LMHC, LPC)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:LYNN
Last Name:MCLERRAN
Suffix:
Gender:F
Credentials:MA, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 HARBOR HILL DR NW
Mailing Address - Street 2:SUITE B, #352
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-4509
Mailing Address - Country:US
Mailing Address - Phone:253-281-6216
Mailing Address - Fax:
Practice Address - Street 1:1387 BAKER HEIGHTS LOOP
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312
Practice Address - Country:US
Practice Address - Phone:253-281-6216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-18
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019382101YP2500X
WALH61378092101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional