Provider Demographics
NPI:1710154885
Name:MCBETH, CLARENA LOPEZ (LMHC, CASAC, LPC)
Entity Type:Individual
Prefix:
First Name:CLARENA
Middle Name:LOPEZ
Last Name:MCBETH
Suffix:
Gender:F
Credentials:LMHC, CASAC, LPC
Other - Prefix:
Other - First Name:CLARENA
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 LAFAYETTE PL
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5440
Mailing Address - Country:US
Mailing Address - Phone:203-307-2370
Mailing Address - Fax:203-307-2370
Practice Address - Street 1:28 LAFAYETTE PL
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5440
Practice Address - Country:US
Practice Address - Phone:203-307-2370
Practice Address - Fax:203-307-2370
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health