Provider Demographics
NPI:1508664921
Name:MCLEAN, TIERRAH T (LPC)
Entity type:Individual
Prefix:
First Name:TIERRAH
Middle Name:T
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 COUNTRY CLUB LN # 294
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-3110
Mailing Address - Country:US
Mailing Address - Phone:862-237-6792
Mailing Address - Fax:862-237-6792
Practice Address - Street 1:294 COUNTRY CLUB LN # 294
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-3110
Practice Address - Country:US
Practice Address - Phone:862-237-6792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00932900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional