Provider Demographics
NPI:1629293766
Name:MCCLURE, LEIGH ANN (LPCC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
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 1:10105 SAINT RENE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-4036
Mailing Address - Country:US
Mailing Address - Phone:502-267-9513
Mailing Address - Fax:502-259-4022
Practice Address - Street 1:10105 SAINT RENE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-4036
Practice Address - Country:US
Practice Address - Phone:502-267-9513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY 1026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional