Provider Demographics
NPI:1073001780
Name:MCCLURE, RACHEL (LPCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MCCLURE
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 1:1512 HUNTERS LAKE DR E
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-5302
Mailing Address - Country:US
Mailing Address - Phone:440-223-7156
Mailing Address - Fax:
Practice Address - Street 1:323 S COURT ST STE 210
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3715
Practice Address - Country:US
Practice Address - Phone:330-331-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500293101YP2500X
OHE.1800701101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0282184Medicaid