Provider Demographics
NPI:1710424601
Name:MCCLEARY, CHRISTOPHER JAMES (LPC, CHT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:MCCLEARY
Suffix:
Gender:M
Credentials:LPC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 CHANCERY LN
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72718-9034
Mailing Address - Country:US
Mailing Address - Phone:479-202-6292
Mailing Address - Fax:
Practice Address - Street 1:101 PARKWOOD ST STE F
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-8808
Practice Address - Country:US
Practice Address - Phone:479-202-6292
Practice Address - Fax:479-335-1325
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ARP1810143101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health