Provider Demographics
NPI:1467750505
Name:MCCLAIN, MONICA MELISSA (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:MELISSA
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10603 FARMERSVILLE FRK
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2598
Mailing Address - Country:US
Mailing Address - Phone:832-640-4939
Mailing Address - Fax:
Practice Address - Street 1:10603 FARMERSVILLE FRK
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2598
Practice Address - Country:US
Practice Address - Phone:832-640-4939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-13
Last Update Date:2011-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional