Provider Demographics
NPI:1558829986
Name:MCCLENON, ASIA (BS,MA)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:MCCLENON
Suffix:
Gender:F
Credentials:BS,MA
Other - Prefix:
Other - First Name:ASIA
Other - Middle Name:
Other - Last Name:MCCLENON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS,MA
Mailing Address - Street 1:3211 BRECKINRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4907
Mailing Address - Country:US
Mailing Address - Phone:832-410-5927
Mailing Address - Fax:
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4365
Practice Address - Country:US
Practice Address - Phone:832-862-7997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-05
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX01213811106023777147OtherDRIVERS LICENSE