Provider Demographics
NPI:1629315148
Name:MCCLENAHAN, EMILY SUE (MA, NCC, LCMHC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:SUE
Last Name:MCCLENAHAN
Suffix:
Gender:F
Credentials:MA, NCC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1963
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28093-1963
Mailing Address - Country:US
Mailing Address - Phone:704-740-6140
Mailing Address - Fax:
Practice Address - Street 1:3434 S NEW HOPE RD STE E
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8324
Practice Address - Country:US
Practice Address - Phone:704-740-6140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9862101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor