Provider Demographics
NPI:1588019046
Name:MCCLURE, MICHAEL I (LPCC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:MCCLURE
Suffix:I
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 EGGERS PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6721
Mailing Address - Country:US
Mailing Address - Phone:513-616-8790
Mailing Address - Fax:513-559-2977
Practice Address - Street 1:2907 EGGERS PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6721
Practice Address - Country:US
Practice Address - Phone:513-616-8790
Practice Address - Fax:513-559-2977
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional