Provider Demographics
NPI:1629467543
Name:MCGUIRE, CLAIRE (MA)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7252
Mailing Address - Country:US
Mailing Address - Phone:239-540-8011
Mailing Address - Fax:239-540-9011
Practice Address - Street 1:2804 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 104
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7252
Practice Address - Country:US
Practice Address - Phone:239-540-8011
Practice Address - Fax:239-540-9011
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-36-AD-2097-02101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)